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PHYLLIS ESTES BERGMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2207 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-4117
(505) 281-6131
Mailing address
PO BOX 64, CEDAR CREST, NM 87008-0064
(505) 281-6131

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
CNP 00742
NM

Other

Enumeration date
05/06/2011
Last updated
05/06/2011
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