Individual
MRS. MELISSA JO BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN., CRNFA
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
(860) 823-3865
Mailing address
51 SCHOOL HILL RD, BALTIC, CT 06330-1031
(860) 822-6068
(860) 822-6068
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
E44592
CT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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