Individual
ELLEN THERESA HUTTEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4968 S 176TH AVE, OMAHA, NE 68135-3437
(402) 934-3845
(402) 449-4885
Mailing address
4968 S 176TH AVE, OMAHA, NE 68135-3437
(402) 934-3845
(402) 449-4885
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704230225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00430984
RR MEDICARE PIN
—
Enumeration date
06/18/2006
Last updated
03/10/2008
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