Healthcare Provider Details
I. General information
NPI: 1306176284
Provider Name (Legal Business Name): MILKWORKS A NEBRASKA NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2009
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5930 S 58TH ST SUITE W
LINCOLN NE
68516-6402
US
IV. Provider business mailing address
5930 S 58TH ST SUITE W
LINCOLN NE
68516-6402
US
V. Phone/Fax
- Phone: 402-423-6402
- Fax: 402-423-6422
- Phone: 402-423-6402
- Fax: 402-423-6422
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WL0100X |
| Taxonomy | Lactation Consultant (Registered Nurse) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANN
SEACREST
Title or Position: EXECUTIVE DIRECTOR
Credential: RN, IBCLC
Phone: 402-423-6402