Individual provider · Type 1 NPI

Mija Berg, NP

Nurse Practitioner · Vallejo, CA

NPI number 1225123243 Active

Practice location

243 Georgia Street, Suite B
Vallejo, CA 94590

Fax (707) 556-8107

Mailing address

1601 Fruitvale Ave
Oakland, CA 94601-2322

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP479996 (CA)

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…

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About NPI 1225123243

Mija Berg, NP's National Provider Identifier is 1225123243, issued on Oct 4, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vallejo, CA. The record was last updated on Dec 13, 2007.