Brent Joseph Maresh CRNA

NPI 1295008035 - Registered Nurse - 163W00000X

NPI Details
NPI 1295008035
Gender Male
Enumeration Date 02/09/2012
Last Updated 06/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
6911 VAN DORN ST
SUITE # 2
LINCOLN NE, 68506-6801, US
Phone (402) 489-4186
Fax (402) 489-5279
Business Location
6911 VAN DORN ST
SUITE # 2
LINCOLN NE, 68506-6801, US
Phone (402) 489-4186
Fax (402) 489-5279
Toxanomy
Taxonomy Code 163W00000X
License State Nebraska
License Number 64842
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According to our database, Brent Joseph Maresh CRNA NPI is 1295008035, taxonomy code is 163W00000X and license number is 64842, license state is located at Nebraska. Brent Joseph Maresh CRNA physically located at 6911 Van Dorn St, Lincoln NE, 68506-6801. NPI Number Brent Joseph Maresh CRNA has the Individual type.

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1295008035 NPI number is provided on an as is basis without warranty of any kind. 1295008035 is maintained by the National Plan & Provider Enumeration System. The contents of Brent Joseph Maresh CRNA are for informational purposes only.