Provider Demographics
NPI:1013717420
Name:PACE, ROBERT WILLIAM
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:WILLIAM
Last Name:PACE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3756 TWIN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5717
Mailing Address - Country:US
Mailing Address - Phone:402-890-7447
Mailing Address - Fax:
Practice Address - Street 1:3756 TWIN CREEK RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5717
Practice Address - Country:US
Practice Address - Phone:402-890-7447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion