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Individual

MS. CHRISTINE CAROL BERGERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,NNP-BC

Contact information

Practice address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 475-4181
(337) 475-4713
Mailing address
4200 NELSON RD, LAKE CHARLES, LA 70605-4118
(337) 475-4181
(337) 475-4713

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN 078671/AP05202
LA

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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