Individual
KRYSTAL ANN SUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7500 MERCY RD STE 1355, OMAHA, NE 68124
(402) 717-4866
Mailing address
7261 MERCY RD, OMAHA, NE 68124-2311
(402) 690-2619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
68675
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101349
NE
Other
Enumeration date
04/20/2016
Last updated
10/03/2018
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