Healthcare Provider Details

I. General information

NPI: 1144272006
Provider Name (Legal Business Name): CHRISTINA L GROSSHANS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA L BRUNING

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 A ST STE 100
LINCOLN NE
68510-4120
US

IV. Provider business mailing address

6900 A ST STE 100
LINCOLN NE
68510-4120
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-2000
  • Fax: 402-436-2086
Mailing address:
  • Phone: 402-436-2000
  • Fax: 402-436-2086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1964
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: