Individual
MARGARET A HENEY-BERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY, PORTLAND, ME 04102
(207) 662-4562
Mailing address
22 BRAMHALL ST, DEPT OF ANESTHESIOLOGY, PORTLAND, ME 04102
(207) 662-4562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
224234
MA
367500000X
Certified Registered Nurse Anesthetist
45042
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
R035936
ME
Other
Enumeration date
06/21/2007
Last updated
02/09/2009
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