Individual
JARED NOORLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 384-4600
Mailing address
2620 W FAIDLEY AVE, P.O. BOX 9804, GRAND ISLAND, NE 68803-4205
(308) 384-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
101019
NE
163W00000X
Registered Nurse
66977
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101019
NE
Other
Enumeration date
02/27/2008
Last updated
10/02/2018
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