| Giavanna P Bouthietted Md Mbr | |
|
209 W 9th St Ste D Hastings NE 68901-3971 | |
| (402) 461-3520 | |
| (402) 461-3527 |
| Full Name | Giavanna P Bouthietted Md Mbr |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 209 W 9th St Ste D, Hastings, Nebraska |
| Authorized Official Name and Position | Giavanna P Bouthiette (MBR) |
| Authorized Official Contact | 4024613520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Giavanna P Bouthietted Md Mbr 209 W 9th St Ste D Hastings NE 68901-3971 Ph: (402) 461-3520 | Giavanna P Bouthietted Md Mbr 209 W 9th St Ste D Hastings NE 68901-3971 Ph: (402) 461-3520 |
| NPI Number | 1568568202 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568568202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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