Individual
KATRIECE STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 FAULKNER DR, LINCOLN, NE 68516-4738
(402) 464-2422
Mailing address
4110 N 21ST ST, LINCOLN, NE 68521-1205
(402) 601-7871
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
66706
NE
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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