NPI 1548018021
Trail City Wellness LLC
Practice location
- Address
- 1015 Main St STE 3, Bridgeport, NE 69336-4057
- Phone
- (308) 672-1907
- Mailing address
- PO Box 1083, Bridgeport, NE 69336-1083
Authorised official
- Name
- Amber J Dean
- Title
- Dnp, Aprn, Pmhnp-Bc
- Phone
- (308) 672-1907
Registered specialties (2)
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
Mental Health Clinic/Center (Including Community Mental Health Center)
Registry record
- NPI
- 1548018021
- Entity type
- Organization
- NPI issued
- 9 May 2024
- Record last updated
- 9 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.