Individual
LAURA BERGERON-HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5422
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61052653
WA
363LF0000X
Family Nurse Practitioner
AP09781
LA
Other
Enumeration date
01/31/2018
Last updated
10/05/2022
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