Individual
SHAY NICOLE PROCHASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4350 DEWEY AVE, OMAHA, NE 68105-1017
(402) 218-7836
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101742
NE
Other
Enumeration date
01/31/2023
Last updated
02/08/2023
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