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NPI Code Detail

MEDICARE: WEBER BEHAVIORAL HEALTH

MEDICARE: WEBER BEHAVIORAL HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner110909NE

General Provider Information

NPI Number : 1174887459
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEBER BEHAVIORAL HEALTH
Provider Business Mailing Address
First Line : 942 N 13TH ST
Second Line :
City : GENEVA
State : NE
Zip : 68361-1218
Country : US
Telephone Number : 402-759-3802
Fax Number : 402-759-3803
Provider Business Practice Location Address
First Line : 942 N 13TH ST
Second Line :
City : GENEVA
State : NE
Zip : 68361-1218
Country : US
Telephone Number : 402-759-3802
Fax Number : 402-759-3803
Authorized Official
Title or Position : APRN
Name : MRS. KRISTI MARIE WEBER
Credential : APRN
Telephone Number : 402-759-3802
Provider Enumeration Date : 07/01/2012
Last Update Date : 07/01/2012

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Directions to “WEBER BEHAVIORAL HEALTH ” Practice Location

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