Individual
MRS. BETHANY MELISSA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
147 W ROCKWELL ST, JEFFERSON, WI 53549-2048
(920) 674-6255
Mailing address
147 W ROCKWELL ST, JEFFERSON, WI 53549-2048
(920) 674-6255
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11565-33
WI
Other
Enumeration date
02/19/2021
Last updated
02/13/2023
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