Eleanor K Berg

NPI 1013009570 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1013009570
Gender Female
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
ROUTE 28/55 GRANT MEMORIAL DRIVE
GRANT MEMORIAL HOSPITAL
PETERSBURG WV, 26847, US
Phone (304) 257-1026
Fax
Business Location
ROUTE 28/55 GRANT MEMORIAL DRIVE
GRANT MEMORIAL HOSPITAL
PETERSBURG WV, 26847, US
Phone (304) 257-1026
Fax
Toxanomy
Taxonomy Code 363LA2200X
License State West Virginia
License Number 31685
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According to our database, Eleanor K Berg NPI is 1013009570, taxonomy code is 363LA2200X and license number is 31685, license state is located at West Virginia. Eleanor K Berg physically located at Route 28/55 Grant Memorial Drive, Petersburg WV, 26847. NPI Number Eleanor K Berg has the Individual type.

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1013009570 NPI number is provided on an as is basis without warranty of any kind. 1013009570 is maintained by the National Plan & Provider Enumeration System. The contents of Eleanor K Berg are for informational purposes only.