# MARA MICHELLE BERGANOVSKY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801730353
- **Gender:** F
- **Credential:** MSN CNM WHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 776424 | NY | — |
| 163WM0705X | Medical-Surgical Registered Nurse | 26NR21594300 | NJ | — |
| 176B00000X | Midwife | 25ME00095900 | NJ | Yes |
| 176B00000X | Midwife | — | NY | — |
| 363LW0102X | Women's Health Nurse Practitioner | F421971-01 | NY | — |

## Other

- **Enumeration date:** 04/15/2026
- **Last updated:** 04/15/2026