# MOLLY REBECCA BERG

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

## Provider details

- **NPI number:** 1902878523
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP1700X | Perinatal Nurse Practitioner | CP000444 | SD | Yes |

## Other

- **Enumeration date:** 02/07/2006
- **Last updated:** 10/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0503706 | — | IA |
| 01 | — | 0705288 | MEDICA | SD |
| 05 | — | 10025040700 | — | NE |
| 05 | — | 122586300 | — | MN |
| 01 | — | 2387950 | ARAZ/ AMERICA'S PPO | SD |
| 01 | — | 248008 | MIDLANDS CHOICE | SD |
| 01 | — | 263P6DA | BLUE CROSS | MN |
| 01 | — | 283761045257 | PREFERRED ONE | SD |
| 01 | — | 370624200 | DEPT OF LABOR | SD |
| 01 | — | 4994372 | BLUE CROSS | SD |
| 01 | — | 57105AD04 | WPS TRICARE | SD |
| 05 | — | 6828250 | — | SD |
| 05 | — | 6828252 | — | SD |
| 01 | — | 924114229808 | PRIMEWEST | MN |
| 01 | — | 9243925 | DAKOTACARE | SD |
| 01 | — | HP55698 | HEALTHPARTNERS | SD |