Provider Demographics
NPI:1104627546
Name:GUGGENHEIM, EVE
Entity type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:GUGGENHEIM
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 1:1104 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:NE
Mailing Address - Zip Code:68343-2521
Mailing Address - Country:US
Mailing Address - Phone:402-217-7456
Mailing Address - Fax:
Practice Address - Street 1:4433 S 70TH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-4275
Practice Address - Country:US
Practice Address - Phone:402-471-6400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENA373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist