Laurie Jean McMullan, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Offutt a F B, NE
NPI 1528052503 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1528052503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 100909 (NE)
- Practice address
- 2501 Capehart Rd
Sgosa
Offutt a F B, NE 68113-1043 - Phone
- (402) 294-2135
- Fax
- (402) 294-2816
- NPI assigned
- Sep 7, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100909 | NE | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 100909 | NE | Yes |
Addresses
Primary practice location
2501 Capehart Rd
Sgosa
Offutt a F B, NE 68113-1043
Mailing address
2907 Schuemann Dr
Bellevue, NE 68123-1998
Phone (402) 884-6476
Other providers in Offutt a F B, NE
- Elwood Wilbur Kline
- Kenneth Clark Komyathy
- Bradley David Kusler
- Kerry Lainof
- Dale Richard Lush
- Nicholas Lawrence Milewski
- Richelle Leigh Moen
- Tracy June Pecha
- Eugene Lee Ranney
- Jan B Reynolds
All providers in Offutt a F B, NE · Certified Registered Nurse Anesthetist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.