Individual
MARY KATHLEEN HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 727-3396
Mailing address
825 S 169TH ST FL 3, OMAHA, NE 68118-9300
(402) 354-4822
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
67180
NE
367500000X
Certified Registered Nurse Anesthetist
0024168018
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
101048
NE
Other
Enumeration date
06/03/2008
Last updated
02/23/2023
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