Provider Demographics
NPI:1306176284
Name:MILKWORKS A NEBRASKA NONPROFIT CORPORATION
Entity type:Organization
Organization Name:MILKWORKS A NEBRASKA NONPROFIT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEACREST
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC
Authorized Official - Phone:402-423-6402
Mailing Address - Street 1:5930 S 58TH ST
Mailing Address - Street 2:SUITE W
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6402
Mailing Address - Country:US
Mailing Address - Phone:402-423-6402
Mailing Address - Fax:402-423-6422
Practice Address - Street 1:5930 S 58TH ST
Practice Address - Street 2:SUITE W
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6402
Practice Address - Country:US
Practice Address - Phone:402-423-6402
Practice Address - Fax:402-423-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid