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Individual
MICHELE JEAN BERGMANN
Active
Individual
MICHELE JEAN BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201501470NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
201501470NP-PP
OR
363LF0000X
Family Nurse Practitioner
201501470NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201501470NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
201501470NP-PP
OR
Other
Enumeration date
05/18/2012
Last updated
08/24/2021
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