Bergdale, Julianne J
Bergdale, Julianne J is an individual health care provider with primary practice located at 11209 N Tatum Blvd #255, Phoenix AZ 85028-3091. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bergdale, Julianne J can be contacted via phone (602) 494-5050.Contact Information
Primary practice address
11209 N Tatum Blvd #255
Phoenix AZ 85028-3091
Phone: (602) 494-5050
Fax: (602) 494-2611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | RN073584 | Arizona |
Profile Details
| NPI number | 1174517361 |
|---|---|
| LBN Legal business name | Bergdale, Julianne J |
| Credentials | Registered Nurse Practitioner (RNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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