Individual
MIRANDA BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 247-3121
Mailing address
242 1ST ST, CHARLOTTE, IA 52731-9684
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A189279
IA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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