Individual
MS. BERGEN CHRISTINE VARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, CNM
Contact information
Practice address
12174 N MOPAC EXPY STE A, AUSTIN, TX 78758-2910
(512) 994-2662
(512) 406-6202
Mailing address
4515 SETON CENTER PKWY STE 215, AUSTIN, TX 78759-5785
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
31936.1243
WY
367A00000X
Advanced Practice Midwife
Primary
AP115623
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810023250
—
WV
Enumeration date
01/09/2007
Last updated
08/19/2017
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