Individual
HEIDI ANN BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
315 N C ST, EDGAR, NE 68935-3194
(402) 224-3344
(402) 224-3099
Mailing address
PO BOX 406, EDGAR, NE 68935-0406
(402) 224-3344
(402) 224-3099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111253
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111253
STATE OF NEBRASKA-APRN
NE
01
—
55203
STATE OF NEBRASKA-RN
NE
Enumeration date
06/13/2011
Last updated
09/15/2020
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