Individual
SAMUEL BERGENER
Active
Individual
SAMUEL BERGENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
63318
NM
367500000X
Certified Registered Nurse Anesthetist
MB2468470
WA
367500000X
Certified Registered Nurse Anesthetist
N-26821
ID
Other
Enumeration date
02/08/2007
Last updated
02/28/2025
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