Individual provider · Type 1 NPI

Kyle T. Bergan, DNP, APRN, FNP-C

Nurse Practitioner · Rockford, IL

NPI number 1114490224 Active

Practice location

5875 E Riverside Blvd
Rockford, IL 61114-4937

Fax (815) 381-7498

Mailing address

1700 W Summerdale Ave Apt Bsmt
Chicago, IL 60640-2068

Other practice locations

  • 17960 Halsted St, Homewood, IL 60430-2014 · (708) 922-0911
  • 5020 Dempster St, Skokie, IL 60077-1835 · (708) 922-0911

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209017205 (IL)
Family Nurse Practitioner 363LF0000X209017205 (IL)
Emergency Registered Nurse 163WE0003X28268975A (IN)
Nurse Practitioner 363L00000X4704285087 (MI)
Family Nurse Practitioner 363LF0000X26NJ000891500 (NJ)
Family Nurse Practitioner 363LF0000X71011442A (IN)
Registered Nurse 163W00000X26NR20578200 (NJ)
Emergency Registered Nurse 163WE0003X041389716 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

75 other providers at this address

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About NPI 1114490224

Kyle T. Bergan, DNP, APRN, FNP-C's National Provider Identifier is 1114490224, issued on Jan 11, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Aug 21, 2024.