Ven Whole Healthcare Llc | |
7655 Archer Pl Lincoln NE 68516-5286 | |
(402) 991-9630 | |
Not Available |
Full Name | Ven Whole Healthcare Llc |
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Speciality | Family Medicine |
Location | 7655 Archer Pl, Lincoln, Nebraska |
Authorized Official Name and Position | Vithyalakshmi Selvaraj (OWNER) |
Authorized Official Contact | 4029919630 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ven Whole Healthcare Llc 7655 Archer Pl Lincoln NE 68516-5286 Ph: () - | Ven Whole Healthcare Llc 7655 Archer Pl Lincoln NE 68516-5286 Ph: (402) 991-9630 |
NPI Number | 1508522350 |
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Provider Enumeration Date | 11/15/2021 |
Last Update Date | 12/30/2021 |
Medicare PECOS PAC ID | 9234521980 |
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Medicare Enrollment ID | O20220110001588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508522350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
Provider Name | Blanca Lucia Marky |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1184627036 PECOS PAC ID: 2466412523 Enrollment ID: I20041013000506 |
Provider Name | Helen Alethea Trotter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912136789 PECOS PAC ID: 7012049505 Enrollment ID: I20100719000910 |
Provider Name | Vithyalakshmi Selvaraj |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801006325 PECOS PAC ID: 5698946531 Enrollment ID: I20110926000222 |
Provider Name | Amy Marie Yager |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396996948 PECOS PAC ID: 6507271889 Enrollment ID: I20210218002077 |
Provider Name | Tami Jo Mayberry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225529563 PECOS PAC ID: 4688066343 Enrollment ID: I20220110001707 |
Provider Name | Asha Dusad |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427498120 PECOS PAC ID: 4981909231 Enrollment ID: I20230705002478 |
Provider Name | Eden Wodajo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083380182 PECOS PAC ID: 9931555174 Enrollment ID: I20231025000825 |
Provider Name | Bahar Bozorgzadeh |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1447012331 PECOS PAC ID: 3274970736 Enrollment ID: I20240320002644 |
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