Individual
TRACI LYNN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3610 RICHMOND CIRCLE, GRAND ISLAND, NE 68803
(308) 384-6400
(308) 398-6420
Mailing address
PO BOX 281, SUTTON, NE 68979-0281
(402) 440-3548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100975
NE
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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