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Individual

WESTON S EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000
Mailing address
601 W LEOTA ST, NORTH PLATTE, NE 69101-6525
(308) 696-8000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
53115443102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
101168
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025589400
NE
01
P00967664
RAILROAD MEDICARE
Enumeration date
04/29/2011
Last updated
12/23/2011
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