Berg, Randi Marie

Berg, Randi Marie is an individual health care provider with primary practice located at 9040 Reid St , Tacoma WA 98431-1100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Berg, Randi Marie can be contacted via phone (253) 968-2315.

Contact Information

Primary practice address
9040 Reid St Tacoma WA 98431-1100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30001161 Washington

Profile Details

NPI number 1023069184
LBN Legal business name Berg, Randi Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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