DIABETES AND WELLNESS CLINIC LLC NPI 1225366388

NPI Information

NPI: 1225366388
Provider Name: DIABETES AND WELLNESS CLINIC LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 28D2002359

Address:
809 1/2 S 13TH ST
NORFOLK, NE
ZIP 68701
Phone: (402) 379-9600
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DIABETES AND WELLNESS CLINIC LLC is a primary care clinic center in Norfolk, NE. DIABETES AND WELLNESS CLINIC LLC NPI is 1225366388. The provider is registered as an organization entity type.

The provider's business location address is:

809 1/2 S 13TH ST
NORFOLK, NE
ZIP 68701-753
Phone: (402) 379-9600
Fax: (402) 379-9601

The provider's authorized official is Michelle D Brtek Zwiener .
The authorized official title is Owner/diabetes Nurse Practitioner and has the following contact phone number (402) 379-9600.

The CLIA number assigned to this NPI record is 28D2002359 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 1/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	110697	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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