| NPI | 1639687114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JANKUSKI Chief Operating Officer 402-343-4374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |