Individual
MRS. ATHENA C FERTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,PMHNP-BC,NP-C
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
363L00000X
Nurse Practitioner
111149
NE
363L00000X
Nurse Practitioner
Primary
A149479
IA
363LF0000X
Family Nurse Practitioner
111149
NE
363LF0000X
Family Nurse Practitioner
A149479
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G171495
IA
363LP2300X
Primary Care Nurse Practitioner
111149
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025024300
—
NE
05
—
10025024400
—
NE
01
—
47279
BCBS NE
NE
01
—
48515
BCBS NE (PLH)
NE
Enumeration date
07/21/2010
Last updated
09/19/2023
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