Individual provider · Type 1 NPI
Nicole Lee Berg-Johnson, FNP
Family Nurse Practitioner · Lake Mills, WI
NPI number
1336787126
Active
Practice location
125 E Pine St Ste C
Lake Mills, WI 53551-1103
Fax (920) 648-4365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9779-33 (WI) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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- McKenna Meihak, APNPFamily Nurse Practitioner Lake Mills, WI NPI 1699344747
About NPI 1336787126
Nicole Lee Berg-Johnson, FNP's National Provider Identifier is 1336787126, issued on Dec 12, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Mills, WI. The record was last updated on Mar 17, 2022.