Individual
MRS. KATHERINE FLOOK BERGDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501-3806
(770) 219-9445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN204257
GA
Other
Enumeration date
02/11/2018
Last updated
02/15/2021
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