Individual
MRS. NICOLE ELIZABETH BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7450 KESSLER ST STE 203, SHAWNEE MISSION, KS 66204-2519
(913) 676-7585
(913) 676-8189
Mailing address
16328 NIEMAN RD, OVERLAND PARK, KS 66221-6421
(630) 854-2931
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085-001444
IL
363AM0700X
Medical Physician Assistant
Primary
15-01168
KS
Other
Enumeration date
03/14/2006
Last updated
05/14/2020
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