MEDICARE: HEATH PENNY CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	100904	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295804714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATH PENNY CRNA

Provider Business Mailing Address
First Line	:	1040 N BELL ST.
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-4347
Country	:	US
Telephone Number	:	402-727-7990
Fax Number	:	402-727-1761

Provider Business Practice Location Address
First Line	:	300 E 23RD ST
Second Line	:
City	:	FREMONT
State	:	NE
Zip	:	68025-2302
Country	:	US
Telephone Number	:	402-727-7990
Fax Number	:	402-727-1761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	03/05/2012

Similar Medicare Providers

1063581585 — MARY SCHLAUTMAN CRNA
Practice Location Address:

300 E 23RD ST
FREMONT, NE
68025-2302

Practice Phone: 402-727-7990
Practice Fax: 402-727-1761

1326117821 — MARY SVOBODA CRNA
Practice Location Address:

300 E 23RD ST
FREMONT, NE
68025-2302

Practice Phone: 402-727-7990
Practice Fax: 402-727-1761

1316172216 — SLEEP CENTER OF FREMONT, LLC.
Practice Location Address:

300 E 23RD ST
FREMONT, NE
68025-2302

Practice Phone: 402-727-7768
Practice Fax: 402-727-1864

1538356225 — GRACE YU MD
Practice Location Address:

3200 KEARNEY STREET
FREMONT, CA
94301-2302

Practice Phone: 510-490-1222
Practice Fax:

1326725714 — DR. BRIDGET CHRISTINE MCKEEGAN DDS
Practice Location Address:

1947 E MILITARY AVE
FREMONT, NE
68025-5467

Practice Phone: 402-727-8700
Practice Fax:

1154263630 — LEVI MAHNKE
Practice Location Address:

1420 E MILITARY AVE
FREMONT, NE
68025-5300

Practice Phone: 402-441-7940
Practice Fax: 402-441-8491

Directions to “ HEATH PENNY CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.