Individual
GREGORY GRANT KRAUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
EMILE 42ND ST, OMAHA, NE 68198-0002
(402) 559-4081
(402) 559-7372
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100510
NE
367500000X
Certified Registered Nurse Anesthetist
D 070551
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0995430
—
IA
05
—
47-0550438-15
—
NE
Enumeration date
08/25/2006
Last updated
04/05/2017
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