Individual
MISTY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 WILLIS DR, BUNKER HILL, WV 25413-3547
(304) 676-9996
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024182069
VA
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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