Healthcare Provider Details

I. General information

NPI: 1922097112
Provider Name (Legal Business Name): LORI ANN FRITZ CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 POLE CREEK XING
SIDNEY NE
69162-2901
US

IV. Provider business mailing address

1000 POLE CREEK XING
SIDNEY NE
69162-2901
US

V. Phone/Fax

Practice location:
  • Phone: 308-254-5825
  • Fax: 308-254-4003
Mailing address:
  • Phone: 308-254-5825
  • Fax: 308-254-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number41146
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: