Provider Demographics
NPI:1962672725
Name:KUNZ, SANDRA LOU (RN MSN)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:LOU
Last Name:KUNZ
Suffix:
Gender:F
Credentials:RN MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3606 N 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-2769
Mailing Address - Country:US
Mailing Address - Phone:402-493-2941
Mailing Address - Fax:
Practice Address - Street 1:3606 N 114TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-2769
Practice Address - Country:US
Practice Address - Phone:402-493-2941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-08
Last Update Date:2008-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27470163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical