Individual provider · NPI-1

Linda Berko, NP

Nurse Practitioner · Mishawaka, IN

NPI number1306593553
StatusActive
Last updated in NPPESMar 8, 2022

Details

NPI
1306593553
Entity type
Individual (NPI-1)
Name
Linda Berko
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2022
Certification date
Mar 8, 2022
Last updated
Mar 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner71012340AINYes

Practice location

3665 Park Pl W Ste 300
Mishawaka, IN 46545-3566

Phone 877-448-3627 · Fax 866-507-1164

Mailing address

901 Mcclintock Dr Ste 202
Burr Ridge, IL 60527-0872

Phone 630-655-6748

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