Individual
TAMMY KAY BERNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 N LINCOLN AVE, FREMONT, NE 68025-3206
(402) 727-3050
Mailing address
1750 N LINCOLN AVE, FREMONT, NE 68025-3206
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
16472
NE
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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