Provider Demographics
NPI:1881049526
Name:FAMILY HEALTH & WELLNESS CENTER, P.C.
Entity type:Organization
Organization Name:FAMILY HEALTH & WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VEDRANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DZIKO
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:402-434-5235
Mailing Address - Street 1:6825 S 27TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-4872
Mailing Address - Country:US
Mailing Address - Phone:402-434-5235
Mailing Address - Fax:
Practice Address - Street 1:6825 S 27TH ST STE 201
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-4872
Practice Address - Country:US
Practice Address - Phone:402-434-5235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty