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Individual

CHARISSE MARIE MERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2114 MCKELVIE RD UNIT 20, SEWARD, NE 68434-8122
(402) 450-4844
Mailing address
PO BOX 22, SEWARD, NE 68434-0022
(402) 450-4844

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100591
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47060018715
NE
Enumeration date
07/15/2006
Last updated
09/06/2023
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