Doctor Name: | GREGORY LEE NABITY |
NPI Number: | 1336347616 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 485 |
Business Practice Address: | 1760 County Road J Wahoo, NE - 680664152 |
Business Phone Number: | 4024434191 |
Business Fax Number: | 4024431402 |
Mailing Address: | 1760 County Road J, WAHOO |
State: | NE |
Postal Code: | 680664152 |
Phone Number: | 4024434191 |
Fax Number: | 4024431402 |
NPI Enumeration Date: | 07/06/2007 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 485 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |