Individual provider · Type 1 NPI

Laurie R. Berg, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Menlo Park, CA

NPI number 1275724312 Active

Practice location

795 Willow Rd, Building 347-A
Menlo Park, CA 94025-2539

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X374314 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1275724312

Laurie R. Berg, NURSE PRACTITIONER's National Provider Identifier is 1275724312, issued on Aug 5, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Menlo Park, CA. The record was last updated on Aug 5, 2007.