Individual
MRS. ANNIKA JEANETTE BERGESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1739 E BEVERLY AVE, SUITE 106, KINGMAN, AZ 86409-3593
(928) 757-3133
(928) 757-3136
Mailing address
1739 E BEVERLY AVE, SUITE 106, KINGMAN, AZ 86409-3593
(928) 757-3133
(928) 757-3136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3049
AZ
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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