Provider Demographics
NPI:1598741142
Name:HERMAN, ANDREA MARCIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MARCIA
Last Name:HERMAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4220 L ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68107-1048
Mailing Address - Country:US
Mailing Address - Phone:402-733-4433
Mailing Address - Fax:402-733-1220
Practice Address - Street 1:4220 L ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68107-1048
Practice Address - Country:US
Practice Address - Phone:402-733-4433
Practice Address - Fax:402-733-1220
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2016-03-29
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Provider Licenses
StateLicense IDTaxonomies
NE20385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098684023Medicare PIN
NEG09781Medicare UPIN