Individual
SUSAN DIANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
72922 642 AVE, AUBURN, NE 68305-8205
(402) 274-7238
(402) 274-4920
Mailing address
72922 642 AVE, AUBURN, NE 68305-8205
(402) 274-7238
(402) 274-4920
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100567
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27005
BCBS
IA
01
—
38159
BCBS
NE
05
—
39199966200
—
NE
Enumeration date
03/09/2006
Last updated
11/07/2008
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