Individual
DR. NICOLE ELIZABETH BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3033 EXCELSIOR BLVD STE 465, MINNEAPOLIS, MN 55416-3372
(612) 547-9990
Mailing address
280 SMITH AVE N, SAINT PAUL, MN 55102-2424
(651) 241-5958
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6156
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
6156
MN
Other
Enumeration date
09/19/2018
Last updated
06/14/2019
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