Individual
CAROLINE LEIGH BERGSTRESSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
97 THOMAS JOHNSON DR STE 101, FREDERICK, MD 21702
(301) 663-4545
(301) 663-1709
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024171826
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
R229355
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902201692
—
MD
Enumeration date
10/24/2014
Last updated
10/01/2018
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