IndividualActive
Jonathan Pedersen
NPI 1093690760 · Chore Provider · Sutton, NE
Provider details
- NPI number
- 1093690760
- Entity type
- Individual
- Primary specialty
- Chore ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
301 N Euclid Ave
Sutton, NE 68979-2441
Phone: (402) 762-5045
Approximate (ZIP-level) locationGet directions
Mailing address
301 N Euclid Ave
Sutton, NE 68979-2441
Registry dates
- Enumerated
- 2025-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.