Individual
MEGAN DANIELLE BERGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
10468 RAVENSWOOD RD, RAVENSWOOD, WV 26164-6145
(304) 482-4729
Mailing address
10468 RAVENSWOOD RD, RAVENSWOOD, WV 26164-6145
(304) 482-4729
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
06/16/2016
Last updated
03/03/2021
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