Grace, Kirsten Bergen

Grace, Kirsten Bergen is an individual health care provider with primary practice located at 1315 Hospital Dr , St Johnsbury VT 05819-9210. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grace, Kirsten Bergen can be contacted via phone (802) 748-8141.

Contact Information

Primary practice address
1315 Hospital Dr St Johnsbury VT 05819-9210
Phone: (802) 748-8141
Fax: (802) 748-4098
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 88494 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 076241-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 004399 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101-0118108 Vermont

Profile Details

NPI number 1841503935
LBN Legal business name Grace, Kirsten Bergen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2010
Last updated Jan 2nd, 2024 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841503935 NPPES
Connecticut Other 004399 STATE LICENSE

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