Individual
NICOLE J BERGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9239 W CENTER RD, SUITE 225, OMAHA, NE 68124-1900
(402) 505-9550
(402) 614-3414
Mailing address
9239 W CENTER RD, SUITE 225, OMAHA, NE 68124-1900
(402) 505-9550
(402) 614-3414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21318
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025118600
—
NE
Enumeration date
02/16/2006
Last updated
08/02/2023
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