Healthcare Provider Details

I. General information

NPI: 1578297586
Provider Name (Legal Business Name): DAVID PAUL BEBEE RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 08/08/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42ND AND EMILE
OMAHA NE
68198-0001
US

IV. Provider business mailing address

984455 NEBRASKA MEDICAL CTR
OMAHA NE
68198-4455
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number101756
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number69312
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: