Provider Demographics
NPI:1831116516
Name:LUNDY, TRISHA M (APRN)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:M
Last Name:LUNDY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:M
Other - Last Name:SCHMAL GEALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1600 S. 48TH ST.
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506
Mailing Address - Country:US
Mailing Address - Phone:402-481-7333
Mailing Address - Fax:
Practice Address - Street 1:1600 S. 48TH ST.
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-481-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1763363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE251747OtherMIDLAND'S CHOICE
NE470780857 23Medicaid
38871OtherBCBS
IA0785055Medicaid
KS200405220AMedicaid
38871OtherBCBS