Individual
JUDITH BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
4350 N 19TH AVE, SUITE 6, PHOENIX, AZ 85015-4602
(602) 264-9191
(602) 532-2973
Mailing address
4041 N CENTRAL AVE, BLDG C, PHOENIX, AZ 85012-3313
(602) 279-5262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1139
AZ
363LF0000X
Family Nurse Practitioner
RN073265
AZ
Other
Enumeration date
08/24/2005
Last updated
09/18/2018
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