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Individual
MRS. TAKEDRIA MINGO-BERRY
Active
Individual
MRS. TAKEDRIA MINGO-BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011034040
MO
207Q00000X
Family Medicine Physician
2018035915
MO
363L00000X
Nurse Practitioner
Primary
2018035915
MO
363LF0000X
Family Nurse Practitioner
Primary
2018035915
MO
363LF0000X
Family Nurse Practitioner
53-81402-052
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255816591
NPI
MO
Enumeration date
10/02/2018
Last updated
02/17/2026
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