Provider Demographics
NPI:1174354039
Name:GUNLIKSON, SARAH R (PA-C)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:R
Last Name:GUNLIKSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2222 S. 16TH ST. TOWER B
Mailing Address - Street 2:TOWER B, SUITE 405
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502
Mailing Address - Country:US
Mailing Address - Phone:402-481-5860
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 860876
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55486-8758
Practice Address - Country:US
Practice Address - Phone:402-483-8590
Practice Address - Fax:402-483-8599
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-11-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant