Individual
DIANNE J BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
(303) 413-6325
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 443-8500
(303) 413-6325
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
104808
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10908366
—
CO
01
—
BEN04257724
NCC CERTIFICATION
—
Enumeration date
09/20/2006
Last updated
12/09/2019
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