Bergstrom, Debra L
Bergstrom, Debra L is an individual health care provider with primary practice located at 1401 10Th St Ste C , Alamogordo NM 88310-5012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bergstrom, Debra L can be contacted via phone (575) 437-4533.Contact Information
Primary practice address
1401 10Th St Ste C
Alamogordo NM 88310-5012
Phone: (575) 437-4533
Fax: (575) 437-5009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 057927 | Arizona |
Profile Details
| NPI number | 1780670398 |
|---|---|
| LBN Legal business name | Bergstrom, Debra L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Apr 4th, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780670398 | NPPES |
| Arizona | MEDICAID | 560103 |
Popular Providers
-
Greenwood, Tara Lynn
1501 10Th St , Alamogordo NM 88310-5044 -
Gigler, Cynthia Louise
2474 Indian Wells Rd Ste B , Alamogordo NM 88310-3845 -
Brown, Stephanie Sharon
918 N White Sands Blvd , Alamogordo NM 88310-6926 -
Alvarado, Gilberto T
2474 Indian Wells Rd Suite A, Alamogordo NM 88310-3845 -
Deroy, Jennifer
2150 Highway 54 S , Alamogordo NM 88310-7330 -
Stovell, Lorena J.
2669 Scenic Dr , Alamogordo NM 88310-8700 -
Daily, Kami Marie
250 1St St , Alamogordo NM 88310-6517 -
Seeberger, Alisa A
1401 10Th St Ste C , Alamogordo NM 88310-5012