Individual
MARY SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 E 23RD ST, FREMONT, NE 68025-2302
(402) 727-7990
(402) 727-1761
Mailing address
316 CRESCENT RD, SCHUYLER, NE 68661-2527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
100111
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911765978-15
—
NE
Enumeration date
11/07/2006
Last updated
07/08/2007
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