Individual
KATIE SUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4920 S 30TH ST STE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 734-3990
Mailing address
4920 S 30TH ST STE 103, OMAHA, NE 68107-1656
(402) 734-4110
(402) 734-3990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113295
NE
363LF0000X
Family Nurse Practitioner
Primary
113295
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76766
RN LICENSE
NE
Enumeration date
09/01/2016
Last updated
10/12/2023
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