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SARIAH ANNE BERG FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1922640093

Individual Registrant:
 SARIAH ANNE BERG FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2317 SAN JUAN AVE  LA JUNTA, CO 81050-3340 US
Tel: 719-383-2325  Fax: 719-383-2327

Contact information for business:
17671 COUNTY ROAD H  ORDWAY, CO 81063-9513 US
Tel: 719-469-1142  Fax: --

Registration Information:
NPI: 1922640093
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CO0995089

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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