Individual
REBECCA JOY BERGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1459 S HIGLEY RD STE 106, GILBERT, AZ 85296-5047
(480) 556-0446
Mailing address
1459 S HIGLEY RD STE 106, GILBERT, AZ 85296-5047
(480) 556-0446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00150427
WA
363LF0000X
Family Nurse Practitioner
Primary
313125
AZ
363LF0000X
Family Nurse Practitioner
AP60311595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022540
—
WA
Enumeration date
09/10/2012
Last updated
10/07/2024
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