Individual provider · Type 1 NPI
Kelly Marie Bergen, NP
Acute Care Nurse Practitioner · Gastonia, NC
NPI number
1093183642
Active
Practice location
2555 Court Dr, Suite 300
Gastonia, NC 28054-2134
Fax (704) 868-5870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 162782 (NC) |
| Gerontology Nurse Practitioner | 363LG0600X | 162782 (NC) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1093183642
Kelly Marie Bergen, NP's National Provider Identifier is 1093183642, issued on Sep 11, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Gastonia, NC. The record was last updated on Sep 29, 2015.