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Contact Information

ATHENA C FERTIG, APRN,PMHNP-BC,NP-C
300 W BROADWAY STE 240
COUNCIL BLUFFS, IA51503-9028
 Phone: 712-266-3577
 Fax: 712-336-8541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ATHENA C FERTIG · (Female)

NPI # 1093028805
Status Active
Credentials APRN,PMHNP-BC,NP-C
Entity Individual
Enumeration date 07/21/2010
Last updated 09/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IA License # A149479
  • IA License # G171495
  • NE License # 111149
  • NE Medicaid 10025024300
  • NE Medicaid 10025024400
  • NE Other 47279 BCBS NE
  • NE Other 48515 BCBS NE (PLH)
Hospital affiliation(s)
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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