Individual
JULIE ANN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
673 SALLY CIR, WADSWORTH, OH 44281-4613
(330) 990-3102
Mailing address
673 SALLY CIR, WADSWORTH, OH 44281-4613
(330) 990-3102
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-09599
OH
Other
Enumeration date
04/03/2008
Last updated
04/03/2008
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