Individual
NICOLE LEE BERG-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
125 E PINE ST STE C, LAKE MILLS, WI 53551-1103
(920) 648-5271
(920) 648-4365
Mailing address
125 E PINE ST STE C, LAKE MILLS, WI 53551-1103
(920) 648-5271
(920) 648-4365
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9779-33
WI
Other
Enumeration date
12/12/2019
Last updated
03/17/2022
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