Julianne J Bergdale, RNP
Nurse Practitioner, Obstetrics & Gynecology in Phoenix, AZ. Individual provider (NPI-1).
NPI number1174517361
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1174517361
- Entity type
- Individual (NPI-1)
- Name
- Julianne J Bergdale
- Credential
- RNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | RN073584 | AZ | Yes |
Practice location
11209 N Tatum Blvd#255
Phoenix, AZ 85028-3091
Phone 602-494-5050 · Fax 602-494-2611
Mailing address
11209 N Tatum Blvd#255
Phoenix, AZ 85028-3091
Phone 602-494-5050 · Fax 602-494-2611
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