Individual provider · Type 1 NPI
Elisa Bergquist, NP
Family Nurse Practitioner · La Porte, IN
NPI number
1922476878
Active
Practice location
500 Legacy Plz W
La Porte, IN 46350-5254
Fax (219) 326-5684
Mailing address
401 Newporte Blvd
La Porte, IN 46350-2479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71005757A (IN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1922476878
Elisa Bergquist, NP's National Provider Identifier is 1922476878, issued on Sep 9, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Porte, IN. The record was last updated on Sep 18, 2020.