Provider Demographics
NPI:1235755182
Name:NUNNENKAMP, CHANDA LYNN (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHANDA
Middle Name:LYNN
Last Name:NUNNENKAMP
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 S 40TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2408
Mailing Address - Country:US
Mailing Address - Phone:402-483-6000
Mailing Address - Fax:402-483-6106
Practice Address - Street 1:2510 S 40TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2408
Practice Address - Country:US
Practice Address - Phone:420-483-6000
Practice Address - Fax:402-483-6106
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113156363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily