Berg, Nancy Christine

Berg, Nancy Christine is an individual health care provider with primary practice located at 225 Smith Ave N Suite 400, Saint Paul MN 55102-2533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Berg, Nancy Christine can be contacted via phone (651) 290-0133.

Contact Information

Primary practice address
225 Smith Ave N Suite 400 Saint Paul MN 55102-2533
Phone: (651) 290-0133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RNRO764812 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ANCC20233321 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP0778 Minnesota

Profile Details

NPI number 1629176763
LBN Legal business name Berg, Nancy Christine
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 27th, 2015 - about 10 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 1629176763 NPPES
Wisconsin Other 43993300 WISCONSIN MEDICAID
Wisconsin MEDICAID 255460700 WISCONSIN MEDICAID

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