Organization
ELEMENT PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY PECORARO APRN (NURSE PRACTITIONER)
(402) 305-5058
Entity
Organization
Contact information
Practice address
10020 NICHOLAS ST STE 106, OMAHA, NE 68114-2188
(402) 999-9999
Mailing address
11501 PEBBLEBROOKE BLVD, GRETNA, NE 68028-6963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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