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Individual

ASHLIE BERGREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN IBCLC RLC

Contact information

Practice address
780 N 1ST STREET, SPRINGFIELD, NE 68059
(402) 658-0578
Mailing address
780 N 1ST STREET, SPRINGFIELD, NE 68059
(402) 658-0578

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
66714
NE
174N00000X
Lactation Consultant (Non-RN)
Primary
11075800
NE

Other

Enumeration date
09/13/2012
Last updated
11/19/2024
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