Individual
RACHEL L TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
(402) 644-7647
Mailing address
PO BOX 5126, SIOUX FALLS, SD 57117-5126
(605) 335-1952
(605) 373-9971
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60805
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38170
BCBS
NE
01
—
P00760217
RAILROAD MEDICARE
NE
Enumeration date
06/01/2009
Last updated
02/21/2013
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