Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1154438034
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
25, North Main Street, Council Bluffs, Kane Township, Pottawattamie County, Iowa, 51503, United States
SUITE 425
COUNCIL BLUFFS, IA 515030792
Phone: (712) 322-5565
Fax: (712) 322-5566
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 51503)
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