Individual
EMILY R BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-5031
Mailing address
P.O. BOX 37090, BALTIMORE, MD 21297-3090
(703) 295-9360
(703) 295-9369
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024169698
VA
367500000X
Certified Registered Nurse Anesthetist
1920
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
95000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487959946
—
VA
Enumeration date
01/14/2011
Last updated
04/14/2020
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