Individual
SUSAN D CREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 SOUTH 48TH STREET, ER DEPT, LINCOLN, NE 68506
(402) 489-0200
Mailing address
PO BOX 81406, LINCOLN, NE 68501
(800) 678-7672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
301000
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37852
BCBS
NE
Enumeration date
08/10/2006
Last updated
05/19/2008
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