Individual
ELIZABETH GRACE SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
717 N 190TH PLZ STE 2200, ELKHORN, NE 68022-3984
(402) 815-2300
(402) 815-1045
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
115546
NE
Other
Enumeration date
10/11/2024
Last updated
01/29/2025
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