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NPI Code Detail

MEDICARE: CHRISTI ANN MASTNY APRN

MEDICARE: CHRISTI ANN MASTNY APRN
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
1363LF0000XFamily Nurse Practitioner66510NE

General Provider Information

NPI Number : 1578813689
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTI ANN MASTNY APRN
Provider Business Mailing Address
First Line : 418 S 2ND ST
Second Line :
City : HOWELLS
State : NE
Zip : 68641-3301
Country : US
Telephone Number : 402-750-1997
Fax Number : 402-343-4389
Provider Business Practice Location Address
First Line : 3775 45TH AVE
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-4427
Country : US
Telephone Number : 402-564-7200
Fax Number : 402-564-7210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2012
Last Update Date : 07/16/2019

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