Provider Demographics
NPI:1285816785
Name:SEDLAK, CINDY L (PA-C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:SEDLAK
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13616 CALIFORNIA ST
Mailing Address - Street 2:STE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-5336
Mailing Address - Country:US
Mailing Address - Phone:402-496-0404
Mailing Address - Fax:
Practice Address - Street 1:8111 DODGE ST
Practice Address - Street 2:STE. 220
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-4129
Practice Address - Country:US
Practice Address - Phone:402-354-1320
Practice Address - Fax:402-354-5965
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1285816785Medicare NSC