Vardell, Bergen Christine

Vardell, Bergen Christine is an individual health care provider with primary practice located at 12174 N Mopac Expy Ste A , Austin TX 78758-2910. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Vardell, Bergen Christine can be contacted via phone (512) 994-2662.

Contact Information

Primary practice address
12174 N Mopac Expy Ste A Austin TX 78758-2910
Phone: (512) 994-2662
Fax: (512) 406-6202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 31936.1243 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP115623 Texas

Profile Details

NPI number 1942359757
LBN Legal business name Vardell, Bergen Christine
Credentials WHNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Aug 19th, 2017 - about 7 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 1942359757 NPPES
West Virginia MEDICAID 3810023250

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