Individual
MRS. AMY CUNNINGHAM BERGHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19 E MAIN ST, BELGRADE, MT 59714-3715
(406) 922-0820
(406) 823-6305
Mailing address
126 S MAIN ST, LIVINGSTON, MT 59047-2624
(406) 922-0871
(406) 823-6305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22515
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306111
—
MT
Enumeration date
01/26/2010
Last updated
01/31/2012
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