Healthcare Provider Details
I. General information
NPI: 1326071309
Provider Name (Legal Business Name): GYNECOLOGY & FERTILITY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 S 48TH ST SUITE 508
LINCOLN NE
68506-1225
US
IV. Provider business mailing address
1500 S 48TH ST SUITE 508
LINCOLN NE
68506-1225
US
V. Phone/Fax
- Phone: 402-489-9684
- Fax:
- Phone: 402-489-9684
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VE0102X |
| Taxonomy | Reproductive Endocrinology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DEANNA
HUTCHINS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 402-483-2886