Individual
TATUM RONETTE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198
(402) 559-4081
(402) 559-7372
Mailing address
PO BOX 603484, CHARLOTTE, NC 28260-3484
(803) 765-1838
(803) 765-1732
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101108
NE
367500000X
Certified Registered Nurse Anesthetist
26844
SC
367500000X
Certified Registered Nurse Anesthetist
TEMP
TX
Other
Enumeration date
04/28/2008
Last updated
05/07/2024
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