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Individual

DR. CAITLIN MARIE JOHANNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2808 S 143RD PLZ, OMAHA, NE 68144-5611
(401) 261-1921
Mailing address
1310 S 157TH CT APT 101, OMAHA, NE 68130-4905
(402) 680-9166

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101833
NE

Other

Enumeration date
03/27/2024
Last updated
04/02/2024
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