Organization
BESPOKE PSYCHIATRIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE E BURESH (CO-OWNER)
(531) 242-6965
Entity
Organization
Contact information
Practice address
6016 S 87TH ST STE 120, LINCOLN, NE 68526-9364
(531) 242-6965
(531) 242-5285
Mailing address
6016 S 87TH ST STE 120, LINCOLN, NE 68526-9364
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
12/10/2024
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