Healthcare Provider Details

I. General information

NPI: 1891117354
Provider Name (Legal Business Name): ASHLEY L WATSEK-LUNDSTROM APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY L WATSEK

II. Dates (important events)

Enumeration Date: 01/16/2014
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S. 48TH STREET SUITE 800
LINCOLN NE
68506-1200
US

IV. Provider business mailing address

1500 S. 48TH STREET SUITE 800
LINCOLN NE
68506-1200
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8600
  • Fax: 402-483-8693
Mailing address:
  • Phone: 402-483-8600
  • Fax: 402-483-8693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number111546
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number111546
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: