Berg, Elizabeth L

Berg, Elizabeth L is an individual health care provider with primary practice located at 1717 N E St Ste 434 , Pensacola FL 32501-6338. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berg, Elizabeth L can be contacted via phone (850) 484-6500.

Contact Information

Primary practice address
1717 N E St Ste 434 Pensacola FL 32501-6338
Phone: (850) 484-6500
Fax: (850) 857-1747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3213092 Florida

Profile Details

NPI number 1427058692
LBN Legal business name Berg, Elizabeth L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427058692 NPPES
Florida MEDICAID 304856000
Florida MEDICAID 131203

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