Provider Demographics
NPI:1891672648
Name:BERNATCHEZ, AMY
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:BERNATCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:DEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1037 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-1409
Mailing Address - Country:US
Mailing Address - Phone:308-250-2388
Mailing Address - Fax:
Practice Address - Street 1:1037 19TH AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-1409
Practice Address - Country:US
Practice Address - Phone:308-250-2388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic