Individual provider · Type 1 NPI
Johannys Bergolla
Psychiatric/Mental Health Nurse Practitioner · Hialeah, FL
NPI number
1194512467
Active
Practice location
1381 W 30th St
Hialeah, FL 33012-4853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN11038862 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1194512467
Johannys Bergolla's National Provider Identifier is 1194512467, issued on Apr 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hialeah, FL. The record was last updated on Apr 21, 2025.