| Mindful Path Llc | |
|
2424 S Locust St Ste C Grand Island NE 68801-8316 | |
| (308) 216-2594 | |
| Not Available |
| Full Name | Mindful Path Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2424 S Locust St Ste C, Grand Island, Nebraska |
| Authorized Official Name and Position | Jennifer Murray (BUSINESS OWNER) |
| Authorized Official Contact | 3086273064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Path Llc 2424 S Locust St Ste C Grand Island NE 68801-8316 Ph: (308) 216-2594 | Mindful Path Llc 2424 S Locust St Ste C Grand Island NE 68801-8316 Ph: (308) 216-2594 |
| NPI Number | 1558955245 |
|---|---|
| Provider Enumeration Date | 02/24/2021 |
| Last Update Date | 03/10/2023 |
| Certification Date | 03/10/2023 |
| Medicare PECOS PAC ID | 7214343490 |
|---|---|
| Medicare Enrollment ID | O20210312001705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558955245 | NPI | - | NPPES |
| Provider Name | Jennifer Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407229297 PECOS PAC ID: 2062712219 Enrollment ID: I20151120000264 |
| Provider Name | Tina J Karmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629741590 PECOS PAC ID: 1456756238 Enrollment ID: I20210817001177 |
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