Provider Demographics
NPI:1578813689
Name:MASTNY, CHRISTI ANN (APRN)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:ANN
Last Name:MASTNY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HOWELLS
Mailing Address - State:NE
Mailing Address - Zip Code:68641-3301
Mailing Address - Country:US
Mailing Address - Phone:402-750-1997
Mailing Address - Fax:402-343-4389
Practice Address - Street 1:3775 45TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4427
Practice Address - Country:US
Practice Address - Phone:402-564-7200
Practice Address - Fax:402-564-7210
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE66510363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily