Provider Demographics
NPI:1306863733
Name:DANEK, VICKI LYNN (CRNA)
Entity Type:Individual
Prefix:
First Name:VICKI
Middle Name:LYNN
Last Name:DANEK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:VICKI
Other - Middle Name:LYNN
Other - Last Name:DANEK-SATORIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1040 N BELL ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4347
Mailing Address - Country:US
Mailing Address - Phone:402-727-7990
Mailing Address - Fax:402-721-1761
Practice Address - Street 1:450 E 23RD ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2303
Practice Address - Country:US
Practice Address - Phone:402-721-1610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1502356367500000X
NE31140367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered