Individual
DENISE C KLUBERTANZ-BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 779-7953
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 779-7953
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8454
WI
363LF0000X
Family Nurse Practitioner
8454
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100078250
—
WI
Enumeration date
11/14/2017
Last updated
06/18/2024
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