Individual
TERESA R BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 NE INDEPENDENCE AVE, LEES SUMMIT, MO 64086-5544
(816) 246-8000
Mailing address
3715 S BEATRICE CT, INDEPENDENCE, MO 64055-3812
(816) 478-4353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115107
MO
Other
Enumeration date
07/17/2008
Last updated
09/23/2008
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