Individual provider · Type 1 NPI

Amanda Lee Bergman

Nurse Practitioner · Genoa, OH

NPI number 1215834544 Active

Practice location

217 E 11th St
Genoa, OH 43430-1411

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0043702 (OH)

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…

Other nurse practitioner providers in Genoa

See all in Genoa →

About NPI 1215834544

Amanda Lee Bergman's National Provider Identifier is 1215834544, issued on Oct 21, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Genoa, OH. The record was last updated on Oct 21, 2026.