Porter Berg, Skye Raelynn

Porter Berg, Skye Raelynn is an individual health care provider with primary practice located at 2825 Capitol Ave , Sacramento CA 95816-6039. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Allopathic & Osteopathic Physicians / Interventional Cardiology, Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Porter Berg, Skye Raelynn can be contacted via phone (916) 887-1310.

Contact Information

Primary practice address
2825 Capitol Ave Sacramento CA 95816-6039
Phone: (916) 887-1310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 95223197 California
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 95019889 California
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine 363LC0200X 95019889 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95019889 California

Profile Details

NPI number 1508446089
LBN Legal business name Porter Berg, Skye Raelynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2021
Last updated Dec 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508446089 NPPES
Illinois MEDICAID 00000
Illinois MEDICAID 2211IMAA

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