Individual
MS. DEBRA L BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1401 10TH ST STE C, ALAMOGORDO, NM 88310-5012
(575) 437-4533
(575) 437-5009
Mailing address
1401 10TH ST STE C, ALAMOGORDO, NM 88310-5012
(575) 437-4533
(575) 437-5009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
057927
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560103
—
AZ
Enumeration date
09/20/2005
Last updated
07/16/2025
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