Individual
DEANNE BERGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 897-3320
Mailing address
380 RESERVE WAY, WALLA WALLA, WA 99362-0700
(509) 956-6350
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61201378
WA
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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