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Individual

JULIA C BERGLUND

Active
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Individual

JULIA C BERGLUND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11002-33
WI
363LA2200X
Adult Health Nurse Practitioner
4704260670
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AG03210055
AMERICAN ACADEMY OF NURSE PRACTITIONERS
Enumeration date
03/25/2021
Last updated
12/22/2023
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