IndividualActive
Brent Evanoff
NPI 1174919005 · Certified Registered Nurse Anesthetist · Omaha, NE
Provider details
- NPI number
- 1174919005
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 62972 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Emile 42nd St
Omaha, NE 68198-0002
Phone: (402) 559-4081
Fax: (402) 559-7372
Approximate (ZIP-level) locationGet directions
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2016-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.