Most Relevant Information
Provider Data
| NPI Number: | 1003483744 |
| Provider Name: | CARESSA LYNN KIICHLER DNAP, CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 101659 |
Most Important Dates
| Enumeration Date: | 06/10/2021 |
| Last Updated: | 06/10/2021 |
Provider Practice Location
988102 NEBRASKA MEDICAL CTR
OMAHA
NE
681981017
Practice Location Phone/Fax
| Phone: | 4025594081 |
| Fax: | 4025597372 |
Provider Mailing Location
988102 NEBRASKA MEDICAL CTR
OMAHA
NE
681988102
Provider Mailing Phone/Fax
| Phone: | 4025594081 |
| Fax: |