Individual
MRS. MOLLY ANN BERGAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
501 WEST 14TH STREET, 3RD FLOOR, WILMINGTON, DE 19801-1012
(302) 428-2100
Mailing address
501 WEST 14TH STREET, 3RD FLOOR, WILMINGTON, DE 19801-1012
(215) 344-1632
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN626519
PA
363L00000X
Nurse Practitioner
Primary
LG-0000892
DE
363LF0000X
Family Nurse Practitioner
SP014399
PA
Other
Enumeration date
10/20/2014
Last updated
04/29/2016
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