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Contact Information

PEMBERLY PLACE MEDICAL CLINIC LLC
7655 ARCHER PLACE
LINCOLN, NE68516
 Phone: 531-500-3650
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PEMBERLY PLACE MEDICAL CLINIC LLC · (Female)

NPI Number 1396231692
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2018
Last updated 07/10/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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