Healthcare Provider Details

I. General information

NPI: 1194565242
Provider Name (Legal Business Name): BRITAIN YVONNE MOFFET DNAP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 W NORFOLK AVE
NORFOLK NE
68701-4438
US

IV. Provider business mailing address

1301 E GROVE AVE UNIT C2
NORFOLK NE
68701-6131
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-4880
  • Fax:
Mailing address:
  • Phone: 605-641-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number101841
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: