PEMBERLY PLACE MEDICAL CLINIC LLC; NPI #1396231692

Contact Information

PEMBERLY PLACE MEDICAL CLINIC LLC

7655 ARCHER PLACE
LINCOLN, NE 68516

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

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NPI Profile & details for PEMBERLY PLACE MEDICAL CLINIC LLC

NPI Number	`1396231692`
LBN Legal business name	PEMBERLY PLACE MEDICAL CLINIC LLC
Authorized official	KRISTIN BUTTERFIELD - (NURSE PRACTITIONER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/10/2018
Last updated	07/10/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PEMBERLY PLACE MEDICAL CLINIC LLC

Contact Information

Specialty

Primary Care

Gerontology

NPI Profile & details for PEMBERLY PLACE MEDICAL CLINIC LLC

Reviews for PEMBERLY PLACE MEDICAL CLINIC LLC