Individual
SUZANE LYNNE BOHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6901 N 72 ST, OMAHA, NE 68122
(402) 778-9738
(402) 334-2849
Mailing address
PO BOX 34310, OMAHA, NE 68134
(402) 778-9738
(402) 334-2849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901697
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098713
MEDICARE-IMC/BERGAN
NE
05
—
10025507900
—
IA
05
—
10025709800
—
NE
05
—
10025745800
—
NE
05
—
47055043815
—
NE
01
—
I21224
MEDICARE-MERCY
IA
01
—
NA1324
MEDICARE-MIDLANDS
NE
Enumeration date
03/29/2007
Last updated
02/19/2010
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