Individual
KATIE DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 434-5600
(402) 434-5601
Mailing address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 215-9076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80441
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
101664
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
NE
Enumeration date
05/27/2021
Last updated
07/26/2021
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