Individual
MICHAEL DAVID MONFORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2222 N LINCOLN AVE, YORK, NE 68467-1030
(402) 362-6671
Mailing address
1017 ROAD O, YORK, NE 68467-7502
(402) 362-1115
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100656
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NE100656
—
NE
Enumeration date
08/15/2006
Last updated
07/08/2007
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