| Doctor Name: | MRS. JOANN M BERGESEN |
| NPI Number: | 1003022450 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, IBCLC |
| License Number: | 201067 |
| Business Practice Address: | 2075 Nina Ct Hayward, CA - 945416922 |
| Business Phone Number: | 5108818269 |
| Business Fax Number: | 5108814860 |
| Mailing Address: | 2075 Nina Ct, HAYWARD |
| State: | CA |
| Postal Code: | 945416922 |
| Phone Number: | 5108818269 |
| Fax Number: | 5108814860 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 201067 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |