Individual
JULIANNE J BERGDALE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
11209 N TATUM BLVD, #255, PHOENIX, AZ 85028-3091
(602) 494-5050
(602) 494-2611
Mailing address
11209 N TATUM BLVD, #255, PHOENIX, AZ 85028-3091
(602) 494-5050
(602) 494-2611
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN073584
AZ
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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