Michelle Elizabeth Bergen, FNP-BC
Nurse Practitioner, Primary Care in Fresno, CA. Individual provider (NPI-1).
NPI number1144732017
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1144732017
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Michelle Elizabeth Bergen
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2017
- Certification date
- Apr 22, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95007057 | CA | Yes |
Practice location
1275 E Spruce Ave Ste 101Fresno, CA 93720-3372
Phone 559-439-5757 · Fax 559-437-3943
Mailing address
1275 E Spruce Ave Ste 101Fresno, CA 93720-3372
Phone 559-439-5757 · Fax 559-437-3943
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