Organization
NEBRASKA HEALTH AND WELLNESS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS NUNO PA-C (OWNER)
(402) 315-7538
Entity
Organization
Contact information
Practice address
1112 VERGES AVE, NORFOLK, NE 68701-3853
(402) 315-7538
Mailing address
1112 VERGES AVE, NORFOLK, NE 68701-3853
(402) 379-8727
(402) 379-0447
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/19/2019
Last updated
04/05/2019
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