Micah Timothy Amos, CRNA
Nurse Anesthetist, Certified Registered in Bismarck, ND. Individual provider (NPI-1).
NPI number1730684176
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1730684176
- Entity type
- Individual (NPI-1)
- Name
- Micah Timothy Amos
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2018
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R54023 | ND | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | D150890 | IA | |
| 367500000X | Nurse Anesthetist, Certified Registered | CR000991 | SD | |
| 163W00000X | Registered Nurse | R041434 | SD |
Practice location
300 N 7th StBismarck, ND 58501-4439
Phone 402-717-4866 · Fax 402-818-2088
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Phone 605-328-9419
Other practice locations
800 Mercy Dr
Council Bluffs, IA 51503-3128
Council Bluffs, IA 51503-3128
Phone 402-717-4866
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