Provider Demographics
NPI:1649085655
Name:GUNN, HARLAND JOSEPH SR
Entity type:Individual
Prefix:MR
First Name:HARLAND
Middle Name:JOSEPH
Last Name:GUNN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3852 PARKER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-4037
Mailing Address - Country:US
Mailing Address - Phone:402-215-1000
Mailing Address - Fax:
Practice Address - Street 1:3852 PARKER ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-4037
Practice Address - Country:US
Practice Address - Phone:402-215-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant