IndividualActive
Benjamin Grossnicklaus
NPI 1467250050 · Certified Registered Nurse Anesthetist · Kearney, NE
Provider details
- NPI number
- 1467250050
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 101927 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
804 22nd Ave
Kearney, NE 68845-2206
Phone: (308) 455-3600
Approximate (ZIP-level) locationGet directions
Mailing address
816 22nd Ave Ste 100
Kearney, NE 68845-2226
Registry dates
- Enumerated
- 2025-03-07
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.