Individual
DR. BEVERLY LYNN TIMERDING
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7500 MERCY RD, ALEGENT HEALTH BERGAN MERCY EMERGENCY DEPT, OMAHA, NE 68124
(402) 398-6161
(402) 398-6982
Mailing address
900 SO 74 PLZ, SUITE 108, OMAHA, NE 68114-4648
(402) 391-3387
(402) 391-7821
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21873
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0545756
—
IA
05
—
47064207113
—
NE
Enumeration date
05/11/2006
Last updated
07/08/2007
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