| Jose Gary Nadala | |
|
2222 S 16th St Ste 410 Lincoln NE 68502-3785 | |
| (402) 474-1511 | |
| (402) 474-1611 |
| Full Name | Jose Gary Nadala |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2222 S 16th St Ste 410, Lincoln, Nebraska |
| Authorized Official Name and Position | Jennifer Witzke-konradi (MANAGER) |
| Authorized Official Contact | 4024741511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Gary Nadala 2222 S 16th St Ste 410 Lincoln NE 68502-3785 Ph: (402) 474-1511 | Jose Gary Nadala 2222 S 16th St Ste 410 Lincoln NE 68502-3785 Ph: (402) 474-1511 |
| NPI Number | 1548866064 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 06/22/2021 |
| Certification Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548866064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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