Individual provider · Type 1 NPI
Mary Eileen Berg, NP
Obstetrics & Gynecology Nurse Practitioner · Upland, CA
NPI number
1336352939
Active
Practice location
600 N Mountain Ave, Suite A104
Upland, CA 91786-4359
Fax (909) 981-8976
Mailing address
536 E Mariposa St
Upland, CA 91784-2071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 389253 (CA) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1336352939
Mary Eileen Berg, NP's National Provider Identifier is 1336352939, issued on May 8, 2007. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Upland, CA. The record was last updated on Nov 8, 2010.