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Individual

MOLLY REBECCA BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1417 S CLIFF AVE, STE 100, SIOUX FALLS, SD 57105-1063
(605) 322-8937
(605) 322-8938
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
363LP1700X
Perinatal Nurse Practitioner
Primary
CP000444
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0503706
IA
01
0705288
MEDICA
SD
05
10025040700
NE
05
122586300
MN
01
2387950
ARAZ/ AMERICA'S PPO
SD
01
248008
MIDLANDS CHOICE
SD
01
263P6DA
CC SYSTEMS/ BLUE PLUS
MN
01
283761045257
PREFERRED ONE
SD
01
370624200
DEPT OF LABOR
SD
01
4994372
BLUE CROSS
SD
01
57105AD04
WPS TRICARE
SD
05
6828250
SD
05
6828252
SD
01
924114229808
PRIMEWEST
MN
01
9243925
DAKOTACARE
SD
01
HP55698
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
10/10/2018
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