Doctor Name: | CONNIE S BERGER |
NPI Number: | 1811297245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN-232088 |
Business Practice Address: | 28525 Brush Run Rd Howard, OH - 430289743 |
Business Phone Number: | 7404279744 |
Business Fax Number: | |
Mailing Address: | 28525 Brush Run Rd, HOWARD |
State: | OH |
Postal Code: | 430289743 |
Phone Number: | 7404279744 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2010 |
NPI Last Update Date: | 11/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | RN-232088 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |