Berg, Mary

Berg, Mary is an individual health care provider with primary practice located at 10653 Douglas Ln , Nevada City CA 95959-9010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berg, Mary can be contacted via phone (530) 263-8109.

Contact Information

Primary practice address
10653 Douglas Ln Nevada City CA 95959-9010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP13784 California

Profile Details

NPI number 1043331390
LBN Legal business name Berg, Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Dec 14th, 2011 - about 13 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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