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NPI Code Detail

MEDICARE: COURTNEY ANN CEDEBRURG RN

MEDICARE:   COURTNEY ANN CEDEBRURG  RN
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
1163W00000XRegistered Nurse66930NE

General Provider Information

NPI Number : 1376413419
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY ANN CEDEBRURG RN
Provider Business Mailing Address
First Line : 5530 BISON DR
Second Line :
City : LINCOLN
State : NE
Zip : 68516-2411
Country : US
Telephone Number : 402-499-5954
Fax Number :
Provider Business Practice Location Address
First Line : 5631 S 48TH ST STE 100
Second Line :
City : LINCOLN
State : NE
Zip : 68516-4107
Country : US
Telephone Number : 651-696-5543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2025
Last Update Date : 11/05/2025

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Directions to “ COURTNEY ANN CEDEBRURG RN” Practice Location

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