Bergstrom, Sarah R

Bergstrom, Sarah R is an individual health care provider with primary practice located at 1703 Locust Ave , Fairmont WV 26554. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bergstrom, Sarah R can be contacted via phone (304) 366-6100.

Contact Information

Primary practice address
1703 Locust Ave Fairmont WV 26554
Phone: (304) 366-6100
Fax: (304) 366-2220
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN83284-NP-C West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X APRN83284NP West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN83284-NP-C West Virginia

Profile Details

NPI number 1306369509
LBN Legal business name Bergstrom, Sarah R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jul 21st, 2022 - about 2 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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