Individual
KATIE STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 VILLAGE DR STE 110, LINCOLN, NE 68516-6631
(402) 875-9270
(402) 875-9272
Mailing address
3600 VILLAGE DR STE 110, LINCOLN, NE 68516-6631
(402) 875-9270
(402) 875-9272
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
111649
NE
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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