# KATIE STURDEVANT, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487008090
- **Authorized official:** KATIE STURDEVANT APRN-BC (APRN-BC)
- **Authorized official phone:** (402) 875-9270

## Contact information

- **Practice address:** 3600 VILLAGE DR STE 110, LINCOLN, NE 68516-6631
- **Practice address phone:** (402) 875-9270
- **Mailing address:** 3600 VILLAGE DRIVE, STE 110, LINCOLN, NE 68516-6621
- **Mailing address phone:** (402) 875-9270
- **Mailing address fax:** (402) 875-9272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 111649 | NE | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 04/20/2016