Individual
KRISTINA LEE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
401 N MULBERRY ST, EFFINGHAM, IL 62401-2009
(618) 553-8684
Mailing address
401 N MULBERRY ST, EFFINGHAM, IL 62401-2009
(618) 553-8684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014762
IL
Other
Enumeration date
08/25/2016
Last updated
10/30/2024
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