Provider Demographics
NPI:1316063894
Name:UNIVERSITY OF NEBRASKA MEDICAL CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF NEBRASKA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:402-559-9917
Mailing Address - Street 1:111 S 54TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-3401
Mailing Address - Country:US
Mailing Address - Phone:402-553-0211
Mailing Address - Fax:
Practice Address - Street 1:983280 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-3280
Practice Address - Country:US
Practice Address - Phone:402-559-9917
Practice Address - Fax:402-559-6749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110265282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital