Individual
ELEANOR K BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ROUTE 28/55 GRANT MEMORIAL DRIVE, GRANT MEMORIAL HOSPITAL, PETERSBURG, WV 26847
(304) 257-1026
Mailing address
ROUTE 28/55 GRANT MEMORIAL DRIVE, GRANT MEMORIAL HOSPITAL, PETERSBURG, WV 26847
(304) 257-1026
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
31685
WV
363LF0000X
Family Nurse Practitioner
Primary
31685
WV
Other
Enumeration date
09/29/2006
Last updated
09/11/2025
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