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Individual

ANNA ELIZABETH PRAUNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
097159
IA
363A00000X
Physician Assistant
1989
NE
363AS0400X
Surgical Physician Assistant
Primary
1989
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588616767
GROUP NPI
Enumeration date
01/29/2016
Last updated
10/30/2025
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