Olivia Rose Bergandy, FNP
Nurse Practitioner, Family in Dartmouth, MA. Individual provider (NPI-1).
NPI number1164201323
StatusActive
Last updated in NPPESSep 27, 2023
Details
- NPI
- 1164201323
- Entity type
- Individual (NPI-1)
- Name
- Olivia Rose Bergandy
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Sep 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2318029 | MA | Yes |
Practice location
1281 Tucker RdDartmouth, MA 02747-3145
Phone 401-256-0354
Mailing address
1281 Tucker RdDartmouth, MA 02747-3145
Phone 401-256-0354
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