NPI 1891178372 · live from the CMS NPI Registry
Redgy Fuller, DO
Anesthesiology in Omaha, NE. National Provider Identifier 1891178372, active.
NPI record
| NPI | 1891178372 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 984150 Nebraska Medical Ctr, Omaha, NE 68198 |
| Practice phone | 402-559-4081 |
| Enumerated | July 2, 2015 |
| Last updated | July 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 8055 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.