Pine Lake Health LLC
Pine Lake Health LLC is a Family Medicine Physician in Waverly, Nebraska. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13220 Callum Dr Ste 4Waverly, NE 68462-2561
Phone: (402) 786-5563
Fax: (402) 423-4201
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
| Nurse Practitioner | Taxonomy 363L00000X |
Record details
| NPI number | 1780814475 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pine Lake Health, LLC |
| Authorized official | Matthew Glenn — Physician · (402) 423-4200 |
| Other names | Waverly Health Care Urgent Care; Waverly Health Care Urgent Care |
| NPI enumerated | July 16, 2009 |
| Last updated in NPPES | August 30, 2022 |
| Certification date | August 30, 2022 |
| Mailing address | 2611 S 70th St, Lincoln, NE 68506-2960 |
Other providers in Waverly
-
Family Medicine and Urgent Care of Waverly, LLC
13851 Guildford St Ste D, Waverly, NE 68462-1453 · (402) 786-7425