MEDICARE: GRACE CATHERINE SLOAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	116931	NE

General Provider Information

NPI Number	:	1437081221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE CATHERINE SLOAN

Provider Business Mailing Address
First Line	:	2200 S 40TH ST STE 102
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-2424
Country	:	US
Telephone Number	:	402-413-0717
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 S 40TH ST STE 102
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-2424
Country	:	US
Telephone Number	:	402-413-0717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ GRACE CATHERINE SLOAN ” Practice Location

Language	Start Address	Practice Location

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