Individual provider · Type 1 NPI
David N. Bergthold, MSN-ACNP
Acute Care Nurse Practitioner · Osage Beach, MO
NPI number
1336331065
Active
Practice location
54 Hospital Dr
Osage Beach, MO 65065-3050
Fax (573) 302-2241
Mailing address
PO Box 1500
Osage Beach, MO 65065-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 139652 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1336331065
David N. Bergthold, MSN-ACNP's National Provider Identifier is 1336331065, issued on Aug 16, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Osage Beach, MO. The record was last updated on Dec 7, 2012.