Provider Demographics
NPI:1740362763
Name:ECKLES VAN HORN, SARAH M (MSN APRN)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:ECKLES VAN HORN
Suffix:
Gender:F
Credentials:MSN APRN
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:ECKLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN APRN
Mailing Address - Street 1:2300 SOUTH 16TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502
Mailing Address - Country:US
Mailing Address - Phone:402-481-4167
Mailing Address - Fax:
Practice Address - Street 1:2300 S 16TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502
Practice Address - Country:US
Practice Address - Phone:402-481-4167
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110729363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care