Individual
MR. ROBERT W BERKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
100 CAMPUS AVE, SUITE 208, LEWISTON, ME 04240
(207) 777-8974
(207) 777-8946
Mailing address
PO BOX 95000 LBX 7650, PHILADELPHIA, PA 19195-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81019
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330390099
—
ME
Enumeration date
01/09/2007
Last updated
11/07/2022
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