| Ven Whole Healthcare Llc | |
|
7655 Archer Pl Lincoln NE 68516-5286 | |
| (402) 991-9630 | |
| Not Available |
| Full Name | Ven Whole Healthcare Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 9234521980 |
|---|---|
| Medicare Enrollment ID | O20220110001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508522350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Blanca Lucia Marky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184627036 PECOS PAC ID: 2466412523 Enrollment ID: I20041013000506 |
| Provider Name | Praveen P Fernandes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982719795 PECOS PAC ID: 0042352452 Enrollment ID: I20100123000048 |
| Provider Name | Helen Alethea Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912136789 PECOS PAC ID: 7012049505 Enrollment ID: I20100719000910 |
| Provider Name | Vithyalakshmi Selvaraj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801006325 PECOS PAC ID: 5698946531 Enrollment ID: I20110926000222 |
| Provider Name | Amy Marie Yager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396996948 PECOS PAC ID: 6507271889 Enrollment ID: I20210218002077 |
| Provider Name | Alfred Ongesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013688530 PECOS PAC ID: 2163810151 Enrollment ID: I20211130003030 |
| Provider Name | Tami Mayberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225529563 PECOS PAC ID: 4688066343 Enrollment ID: I20220110001707 |
| Provider Name | Asha Dusad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427498120 PECOS PAC ID: 4981909231 Enrollment ID: I20230705002478 |
| Provider Name | Eden Wodajo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083380182 PECOS PAC ID: 9931555174 Enrollment ID: I20231025000825 |
| Provider Name | Bahar Bozorgzadeh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447012331 PECOS PAC ID: 3274970736 Enrollment ID: I20240320002644 |
| Provider Name | Elizabeth Anne Dolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417724295 PECOS PAC ID: 5991144198 Enrollment ID: I20240422000743 |
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