Individual
MARK BERGAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8701 ANZIO ST # 8701A, FORT IRWIN, CA 92310-2456
(631) 747-5382
Mailing address
8701 ANZIO ST # 8701A, FORT IRWIN, CA 92310-2456
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
39583
TN
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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