Individual
MS. LAURA A. BERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
401 BICENTENNIAL WAY, SUITE 140, SANTA ROSA, CA 95403-2149
(707) 571-4130
(707) 571-4560
Mailing address
401 BICENTENNIAL WAY, SUITE 140, SANTA ROSA, CA 95403-2149
(707) 571-4130
(707) 571-4560
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
P264295
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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