Organization Name: | GREAT PLAINS INTERNAL MEDICINE PC MNE |
NPI Number: | 1851336374 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY W HOLEYFIELD (PRESIDENT) |
Mailing Address: | 10135 S 25th St Bellevue |
State: | NE US |
Postal Code: | 681231017 |
Phone Number: | 4022923987 |
Fax Number: | 4022924034 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 110102 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |