Individual
COURTNEY STAGEMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4801 S 154TH PLZ, OMAHA, NE 68137-5164
(402) 741-0726
Mailing address
4801 S 154TH PLZ, OMAHA, NE 68137-5164
(402) 741-0726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71050
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101358
NE
367500000X
Certified Registered Nurse Anesthetist
209014409
IL
Other
Enumeration date
02/04/2016
Last updated
10/02/2018
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