Provider Demographics
NPI:1053208298
Name:MATSON-PULEC, SUSANNE K
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:K
Last Name:MATSON-PULEC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUSIE
Other - Middle Name:K
Other - Last Name:MATSON-PULEC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4525 F ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-3756
Mailing Address - Country:US
Mailing Address - Phone:402-975-8079
Mailing Address - Fax:
Practice Address - Street 1:4525 F ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-3756
Practice Address - Country:US
Practice Address - Phone:402-975-8079
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion