Individual
AMBER LOUISE BERGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
W232N7066 SALEM DR, SUSSEX, WI 53089
(262) 246-4363
Mailing address
N30W23861 GREEN RD APT 8, PEWAUKEE, WI 53072
(414) 303-7528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
195459-30
WI
Other
Enumeration date
11/26/2014
Last updated
05/01/2015
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