Individual
MATTHEW S PRASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
115 E 52ND ST, KEARNEY, NE 68847-0502
(308) 236-5506
(308) 236-7089
Mailing address
PO BOX 1771, KEARNEY, NE 68848-1771
(308) 236-5506
(308) 236-7089
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100780
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47068752615
—
NE
Enumeration date
07/04/2006
Last updated
03/24/2015
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