Organization Name: | LIFEARTS MEDICAL LLC |
NPI Number: | 1316235989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE M HOWARD (PRESIDENT) |
Mailing Address: | 546 Avenue A Suite 2 Plattsmouth |
State: | NE US |
Postal Code: | 680481993 |
Phone Number: | 4022962196 |
Fax Number: | 4022962197 |
NPI Enumeration Date: | 07/18/2011 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 111219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |