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Individual

COREY JON RITCHIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 572-2121
Mailing address
15305 DOUGLAS CIR, OMAHA, NE 68154-2049
(402) 660-0839

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
69595
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101695
NE
367500000X
Certified Registered Nurse Anesthetist
D168599
IA

Other

Enumeration date
02/24/2022
Last updated
04/27/2022
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