Provider Demographics
NPI:1316817034
Name:GUNSET, MIA JOSEPHINE
Entity type:Individual
Prefix:
First Name:MIA
Middle Name:JOSEPHINE
Last Name:GUNSET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 M ST, LINCOLN, NE
Mailing Address - Street 2:UNIT 601
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508
Mailing Address - Country:US
Mailing Address - Phone:402-506-3610
Mailing Address - Fax:
Practice Address - Street 1:921 M ST, LINCOLN, NE
Practice Address - Street 2:UNIT 601
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508
Practice Address - Country:US
Practice Address - Phone:402-506-3610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion