Healthcare Provider Details

I. General information

NPI: 1699034579
Provider Name (Legal Business Name): VALERIE ANN PRESCHER-BUMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2012
Last Update Date: 09/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2510 BELLEVUE MEDICAL CENTER DR
BELLEVUE NE
68123-1520
US

IV. Provider business mailing address

2510 BELLEVUE MEDICAL CENTER DR
BELLEVUE NE
68123-1520
US

V. Phone/Fax

Practice location:
  • Phone: 402-595-2275
  • Fax: 402-291-2039
Mailing address:
  • Phone: 402-595-2275
  • Fax: 402-291-2039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6674
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: