Individual
KATHRINE WATADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
(402) 717-8000
Mailing address
16901 LAKESIDE HILLS CT, OMAHA, NE 68130-2318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
84009
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101406
NE
Other
Enumeration date
02/28/2017
Last updated
09/14/2022
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