Basic Information
| Provider Information | |||||||||
| NPI: | 1801027479 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GROSSHANS | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | ALLEN | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 645 OSAGE | ||||||||
| Address2: | MEMORIAL HEALTH CENTER | ||||||||
| City: | SIDNEY | ||||||||
| State: | NE | ||||||||
| PostalCode: | 69162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3082545825 | ||||||||
| FaxNumber: | 3082548095 | ||||||||
| Practice Location | |||||||||
| Address1: | 645 OSAGE | ||||||||
| Address2: | MEMORIAL HEALTH CENTER | ||||||||
| City: | SIDNEY | ||||||||
| State: | NE | ||||||||
| PostalCode: | 69162 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3082545825 | ||||||||
| FaxNumber: | 3082548095 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/30/2009 | ||||||||
| LastUpdateDate: | 07/30/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | 100326 | NE | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.