Individual
HEATHER BERGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4204
(215) 615-0063
Mailing address
1148 WHARTON ST APT 403, PHILADELPHIA, PA 19147-5073
(571) 228-9805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021709
PA
Other
Enumeration date
04/02/2021
Last updated
06/10/2025
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