Individual
STEPHANIE BERGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2330 MAPUTO PL, DULLES, VA 20189-2329
(404) 740-1058
Mailing address
2330 MAPUTO PL, DULLES, VA 20189-2329
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN290303
GA
Other
Enumeration date
06/14/2021
Last updated
01/12/2026
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