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Organization
ATHENA INTEGRATED CARE PLLC
Active
Organization
ATHENA INTEGRATED CARE PLLC
Active
Other names
Athena Integrated Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ATHENA CLARE FERTIG MSN,APRN,PMHNP,FNP (PRESIDENT/TREASURER)
(712) 266-3577
Entity
Organization
Contact information
Practice address
300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503-9028
(712) 266-3577
(712) 336-8541
Mailing address
300 W BROADWAY STE 240, COUNCIL BLUFFS, IA 51503-9028
(712) 266-3577
(712) 336-8541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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