National Provider Identifier
Angela C Berg, LPN
Angela C Berg, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Walworth, NY and a listed phone number of (315) 986-3963.
Profile Overview
- NPI
- 1023239514
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 01, 2007
- Last Updated
- July 09, 2007
Practice Location
- 1560 Wakerobin Ct.
- Walworth, NY 14568
Phone: (315) 986-3963
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1023239514
- Entity Type
- Individual
- Last Name
- Berg
- First Name
- Angela
- Middle Name
- C
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 1560 Wakerobin Ct.
- Mailing City
- Walworth
- Mailing State
- NY
- Mailing ZIP Code
- 14568
- Mailing Country
- US
- Mailing Phone
- (315) 986-3963
- Practice Street Address
- 1560 Wakerobin Ct.
- Practice City
- Walworth
- Practice State
- NY
- Practice ZIP Code
- 14568
- Practice Country
- US
- Practice Phone
- (315) 986-3963
- Enumeration Date
- May 01, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02000195 (NY)