IndividualActive
Gaven Fults
NPI 1376882126 · Perfusionist · Omaha, NE
Provider details
- NPI number
- 1376882126
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
14708 Kansas Ave
Omaha, NE 68116-4514
Phone: (402) 309-0523
Approximate (ZIP-level) locationGet directions
Mailing address
14708 Kansas Ave
Omaha, NE 68116-4514
Registry dates
- Enumerated
- 2013-02-13
- Last updated
- 2013-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.