MEDICARE: CRYSTAL L DANNER MD

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	207R00000X	Internal Medicine Physician	37225	NE
2	208M00000X	Hospitalist Physician	MD-56578	IA

General Provider Information

NPI Number	:	1154064731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL L DANNER MD

Provider Business Mailing Address
First Line	:	7710 MERCY RD STE 202
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-2353
Country	:	US
Telephone Number	:	402-280-4119
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 MERCY RD, SUITE 202
Second Line	:	CU DEPARTMENT OF PULMONARY & CRITICAL CARE
City	:	OMAHA
State	:	NE
Zip	:	68124-2319
Country	:	US
Telephone Number	:	402-280-4119
Fax Number	:

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

Provider Enumeration Date	:	04/20/2022
Last Update Date	:	05/06/2026

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Directions to “ CRYSTAL L DANNER MD” Practice Location

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