Individual
AMY L BIERBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
988102 NEBRASKA MEDICAL CENER, OMAHA, NE 68198-0001
(402) 559-9800
Mailing address
988102 NEBRASKA MEDICAL CENER, OMAHA, NE 68198-0001
(402) 559-9800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108498
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101101
NE STATE LICENSE
NE
01
—
108498
IA STATE LICENSE
IA
Enumeration date
06/18/2009
Last updated
06/15/2011
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