Individual provider · Type 1 NPI

Ry Willis Bergum, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Ashland, VA

NPI number 1275103459 Active

Practice location

12300 Washington Hwy
Ashland, VA 23005-7646

Fax (804) 365-6639

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024181720 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1275103459

Ry Willis Bergum, PMHNP's National Provider Identifier is 1275103459, issued on Jun 29, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Ashland, VA. The record was last updated on Dec 9, 2025.