Most Relevant Information
Provider Data
| NPI Number: | 1003173311 |
| Provider Name: | MITCHELL E. EBKE CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 101183 |
Most Important Dates
| Enumeration Date: | 04/12/2012 |
| Last Updated: | 04/12/2012 |
Provider Practice Location
2910 BETTEN DR
CRETE
NE
683333084
Practice Location Phone/Fax
| Phone: | 4028262102 |
| Fax: | 4028267950 |
Provider Mailing Location
PO BOX 220
CRETE
NE
683330220
Provider Mailing Phone/Fax
| Phone: | 4028262102 |
| Fax: | 4028267950 |