Individual provider · Type 1 NPI

Elizabeth M. Berg, CPNP

Pediatric Nurse Practitioner · Columbia, SC

NPI number 1104866771 Active

Practice location

9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870

Fax (803) 434-4599

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XAPN142 (SC)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1104866771

Elizabeth M. Berg, CPNP's National Provider Identifier is 1104866771, issued on Jun 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Columbia, SC. The record was last updated on Jun 30, 2021.