Individual
CHRISTINE M DOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7500 MERCY RD STE 1355, OMAHA, NE 68124-2319
(402) 717-4866
(402) 818-2088
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101472
NE
367500000X
Certified Registered Nurse Anesthetist
D109725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067520003
MEDICARE PTAN
—
Enumeration date
08/24/2006
Last updated
05/02/2018
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