Individual
KARI J BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
201 9TH ST W, ADA, MN 56510-1279
(218) 784-5000
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6665
MN
Other
Enumeration date
06/24/2019
Last updated
07/23/2019
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