Individual
HEATH PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 E 23RD ST, FREMONT, NE 68025-2302
(402) 727-7990
(402) 727-1761
Mailing address
1040 N BELL ST., FREMONT, NE 68025-4347
(402) 727-7990
(402) 727-1761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100904
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911765978-15
—
NE
Enumeration date
11/07/2006
Last updated
03/05/2012
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