Individual
DANA L BERGGREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4615 GOVERNMENT ST, BLDG. 1, BATON ROUGE, LA 70806-5922
(225) 922-1477
(225) 922-2658
Mailing address
4615 GOVERNMENT ST, BATON ROUGE, LA 70806-5922
(225) 922-1477
(225) 922-2658
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP06095
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2112490
—
LA
Enumeration date
05/04/2010
Last updated
10/27/2011
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