Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 27799 | NE |
N | 207Q00000X | Family Doctor | 6252 | NE |
NPI | 1013228766 |
---|---|
Provider Name | Dr. Amy Beth Beethe |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198-8102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 06/08/2014 |