Healthcare Provider Details

I. General information

NPI: 1255546206
Provider Name (Legal Business Name): HOLISTIC HARMONY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2007
Last Update Date: 02/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 S 40TH ST SUITE 320A
LINCOLN NE
68506-5243
US

IV. Provider business mailing address

7421 S 36TH ST
LINCOLN NE
68516-5701
US

V. Phone/Fax

Practice location:
  • Phone: 402-480-0082
  • Fax: 402-421-8739
Mailing address:
  • Phone: 402-480-0082
  • Fax: 402-421-8739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number110769
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number110769
License Number StateNE

VIII. Authorized Official

Name: DEBBIE KAY HUGHES
Title or Position: PRESIDENT
Credential: NURSE PRACTITIONER
Phone: 402-480-0082