Individual
MRS. HEATHER MARIE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2010 N 88TH ST, OMAHA, NE 68134-6102
(402) 496-1000
Mailing address
14556 HASCALL ST, OMAHA, NE 68144-3251
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
72999
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72999
NE STATE LICENSE #
NE
Enumeration date
12/27/2012
Last updated
12/27/2012
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