Provider Demographics
NPI:1770894750
Name:STERLING, SALLY J (LPN)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:J
Last Name:STERLING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11129 SEWARD PLZ APT 2011
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4856
Mailing Address - Country:US
Mailing Address - Phone:402-515-9260
Mailing Address - Fax:
Practice Address - Street 1:11129 SEWARD PLZ APT 2011
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4856
Practice Address - Country:US
Practice Address - Phone:402-515-9260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-24
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE202219130164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse