NPI 1013721505

Carrie Lynn Grundman

Practitioner Contractor Elkhorn, NE

Practice location

Address: 2222 N Main St APT 3204, Elkhorn, NE 68022-2450
Phone: (402) 660-9084

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1013721505
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Feb 2025
Record last updated: 4 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.