Provider Demographics
NPI:1336800739
Name:HUNSCHE, STARRLA J (LPN)
Entity Type:Individual
Prefix:
First Name:STARRLA
Middle Name:J
Last Name:HUNSCHE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:STARRLA
Other - Middle Name:J
Other - Last Name:DANIELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:11215 JOHN GALT BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-2319
Mailing Address - Country:US
Mailing Address - Phone:402-592-5900
Mailing Address - Fax:402-592-5901
Practice Address - Street 1:11215 JOHN GALT BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2319
Practice Address - Country:US
Practice Address - Phone:402-592-5900
Practice Address - Fax:402-592-5901
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE20896164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse