Most Relevant Information
Provider Data
| NPI Number: | 1003412289 |
| Provider Name: | SIERRA ELDRIDGE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/11/2020 |
| Last Updated: | 12/11/2020 |
Provider Practice Location
3901 NORMAL BLVD STE 201
LINCOLN
NE
685065250
Practice Location Phone/Fax
| Phone: | 4022614017 |
| Fax: |
Provider Mailing Location
1123 N 9TH ST
BEATRICE
NE
683102041
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |