Individual
RANDI MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-2315
Mailing address
4109 74TH AVE SE, OLYMPIA, WA 98501-9602
(360) 491-0529
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30001161
WA
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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