| Doctor Name: | LINDA K BERG |
| NPI Number: | 1679573521 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 19636 |
| Business Practice Address: | 8 Lee St Moorefield, WV - 268361091 |
| Business Phone Number: | 3045387707 |
| Business Fax Number: | 3045387706 |
| Mailing Address: | Po Box 1019, PETERSBURG |
| State: | WV |
| Postal Code: | 268471019 |
| Phone Number: | 3042571026 |
| Fax Number: | 3042571932 |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |