Provider Demographics
NPI:1225482110
Name:BEHRENS, MICHAELA M (MD)
Entity Type:Individual
Prefix:
First Name:MICHAELA
Middle Name:M
Last Name:BEHRENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 MERCY RD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68106-2621
Mailing Address - Country:US
Mailing Address - Phone:402-505-8944
Mailing Address - Fax:402-390-9851
Practice Address - Street 1:6901 MERCY RD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2621
Practice Address - Country:US
Practice Address - Phone:402-505-8944
Practice Address - Fax:402-390-9851
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE32528207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology