Individual
CARL ERIK BERGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2209
(401) 846-6400
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN03208
RI
Other
Enumeration date
09/14/2022
Last updated
03/13/2026
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