Individual
KRISTIE MAGNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
450 E 23RD ST, FREMONT, NE 68025-2303
(402) 727-3396
(402) 727-3749
Mailing address
825 S 169TH ST FL 3, OMAHA, NE 68118-9300
(402) 354-4822
(402) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
100784
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
100784
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
911765978-15
—
NE
Enumeration date
11/07/2006
Last updated
02/23/2023
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