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Individual
AMANDA CAROLE BERG
Active
Individual
AMANDA CAROLE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, MSN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
719844
NY
363LA2100X
Acute Care Nurse Practitioner
009979
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
432100
NY
Other
Enumeration date
07/29/2021
Last updated
10/01/2026
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