Individual
FAITH TARA BERSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3437 JAMAICA BLVD S, LAKE HAVASU CITY, AZ 86406-5507
(928) 854-7280
(928) 854-7299
Mailing address
500 LAKE HAVASU AVE S APT A7, LAKE HAVASU CITY, AZ 86403-7539
(702) 208-1128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
249396
AZ
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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