| Doctor Name: | MRS. AMY CUNNINGHAM BERGHOLD |
| NPI Number: | 1326379694 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 22515 |
| Business Practice Address: | 19 E Main St Belgrade, MT - 597143715 |
| Business Phone Number: | 4069220820 |
| Business Fax Number: | 4068236305 |
| Mailing Address: | 126 S Main St, LIVINGSTON |
| State: | MT |
| Postal Code: | 590472624 |
| Phone Number: | 4069220871 |
| Fax Number: | 4068236305 |
| NPI Enumeration Date: | 01/26/2010 |
| NPI Last Update Date: | 01/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 22515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |