Individual
MARK BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
315 E ELM ST # 201, CALDWELL, ID 83605-4857
(208) 514-2528
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201601702NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
NP1691A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F1215337
AANP
ID
Enumeration date
03/29/2016
Last updated
10/22/2025
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