Individual
MS. NANCY MANSUETO BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 COLCHESTER AVE, 352 MP4, BURLINGTON, VT 05401-1473
(802) 847-1600
Mailing address
612 MANSFIELD RD, FAYSTON, VT 05673-7406
(802) 496-4375
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101-0019495
VT
363LP2300X
Primary Care Nurse Practitioner
101-0019495
VT
363LW0102X
Women's Health Nurse Practitioner
101-0019495
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0NP0830
—
VT
Enumeration date
08/08/2006
Last updated
04/07/2014
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