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Individual
AMBER BERGMANN
Active
Individual
AMBER BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
13-115858-122
KS
163WC0200X
Critical Care Medicine Registered Nurse
2011025064
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
2021023273
MO
Other
Enumeration date
04/23/2020
Last updated
09/14/2021
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