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Mrs. Athena C Fertig, APRN,PMHNP-BC,NP-C
Nurse Practitioner in Council Bluffs, Iowa
NPI 1093028805

Athena C Fertig is a Nurse Practitioner based in Council Bluffs, IA. Athena C Fertig practices in Council Bluffs, IA and has the professional credentials of APRN,PMHNP-BC,NP-C. The NPI Number for Athena C Fertig is 1093028805 and holds a License No. 111149 (Iowa).

The current practice location address for Athena C Fertig is 300 W Broadway Ste 240, Council Bluffs, IA and can be reached out via phone at 712-266-3577 and via fax at 712-336-8541.

Location: 300 W Broadway Ste 240, Council Bluffs, IA, 51503-9028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093028805
Provider Name
Athena C Fertig
Credential
APRN,PMHNP-BC,NP-C
Provider Entity Type
Individual
Gender
Female
Address
300 W Broadway Ste 240, Council Bluffs, IA, 51503-9028
Phone Number
712-266-3577
Fax Number
712-336-8541
Provider Enumeration Date
07/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
48515 01 NE BCBS NE (PLH)
47279 01 NE BCBS NE
10025024400 05 NE
10025024300 05 NE
institution
Provider Business Practice Location Address Details
Address
300 W Broadway Ste 240
City
Council Bluffs
State
Iowa
Zip
51503-9028
Phone Number
712-266-3577
Fax Number
712-336-8541
person
Provider Business Mailing Address Details
Address
300 W Broadway Ste 240
City
Council Bluffs
State
Iowa
Zip
51503-9028
Phone Number
712-266-3577
Fax Number
712-336-8541
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
G171495 (Iowa)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
111149 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
A149479 (Iowa)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
111149 (Nebraska)
Definition
Definition to come...
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