Emily Victoria Berganini, PA-C
Physician Assistant, Medical in Fort Collins, CO. Individual provider (NPI-1).
NPI number1780093641
StatusActive
Last updated in NPPESJul 31, 2019
Details
- NPI
- 1780093641
- Entity type
- Individual (NPI-1)
- Name
- Emily Victoria Berganini
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- Jul 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA.0004891 | CO | Yes |
| 363A00000X | Physician Assistant | 017831 | NY |
Practice location
2121 E Harmony RdUnit 170
Fort Collins, CO 80528-3413
Phone 970-493-6337 · Fax 970-493-3528
Mailing address
2121 E Harmony RdUnit 170
Fort Collins, CO 80528-3413
Phone 970-493-6337 · Fax 970-493-3528
Other practice locations
12605 E 16th Ave
Aurora, CO 80045-2545
Aurora, CO 80045-2545
Phone 720-848-0000
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