Healthcare Provider Details

I. General information

NPI: 1245330976
Provider Name (Legal Business Name): DEBRA LYNN TOPP CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 CEDAR RIDGE RD
NORFOLK NE
68701-3117
US

IV. Provider business mailing address

1507 CEDAR RIDGE RD
NORFOLK NE
68701-3117
US

V. Phone/Fax

Practice location:
  • Phone: 402-649-0393
  • Fax: 402-371-1664
Mailing address:
  • Phone: 402-649-0393
  • Fax: 402-371-1664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number100349
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: