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Individual

SARAH BERGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BD

Contact information

Practice address
2020 E 29TH AVE STE 200, SPOKANE, WA 99203-3948
(509) 252-1366
Mailing address
2020 E 29TH AVE STE 200, SPOKANE, WA 99203-3948

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2016011913
OH

Other

Enumeration date
07/20/2016
Last updated
07/20/2016
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