Mary Berg is a Family in Nevada City, California. Mary Berg practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Berg is 1043331390. The last update date is 2011-12-14.
Mary Berg's current location address is 10653 Douglas Ln, Nevada City, California. You can contact this provider via phone number 5302638109. The mailing address for Mary Berg is 10653 Douglas Ln, Nevada City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Berg |
|---|---|
| Address | 10653 Douglas Ln, Nevada City, California |
| Phone Number | 5302638109 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1043331390 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2011-12-14 |
Provider Mailing Address Detail
| Address | 10653 Douglas Ln |
|---|---|
| City | Nevada City |
| State | California (CA) |
| Post Code | 959599010 |
| Phone Number | 5302638109 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | NP13784 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the unique identifier code issued to Mary Berg by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Berg has been assigned the NPI (National Provider Identifier) 1043331390. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mary Berg is physically located?
The Mary Berg is physically situated at the following address: 10653 Douglas Ln, Nevada City, CA, 959599010.
What is Mary Berg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Berg is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1043331390 to Mary Berg?
The Centers for Medicare & Medicaid Services originally issued the 1043331390 to Mary Berg on 2007-04-03.
As of what date were the details related to Mary Berg most recently updated or revised?
The information pertaining to Mary Berg, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-14.
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