Individual
ASHLEIGH S BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7580
(434) 654-7582
Mailing address
675 PETER JEFFERSON PKWY STE 300, CHARLOTTESVILLE, VA 22911-8618
(434) 817-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172262
VA
Other
Enumeration date
01/19/2015
Last updated
09/11/2023
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