| Doctor Name: | DIANNE J BERGER |
| NPI Number: | 1942308218 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 104808 |
| Business Practice Address: | 6915 Conifer Ct Niwot, CO - 805038665 |
| Business Phone Number: | 3038273109 |
| Business Fax Number: | |
| Mailing Address: | 6915 Conifer Ct, NIWOT |
| State: | CO |
| Postal Code: | 805038665 |
| Phone Number: | 3038273109 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 06/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 104808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |