National Provider Identifier

Catherine Sophie Bergen, RN

Catherine Sophie Bergen, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Lackawanna, NY and a listed phone number of (267) 614-6353.

NPI 1275167546Lackawanna, NYRegistered Nurse

Profile Overview

NPI
1275167546
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
February 26, 2020
Last Updated
February 26, 2020

Practice Location

  • 950 Ridge RD
  • Lackawanna, NY 14218-1653

Phone: (267) 614-6353

Mailing Address

  • 5782 Main St Ste 1
  • Williamsville, NY 14221-8219

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1275167546
Entity Type
Individual
Last Name
Bergen
First Name
Catherine
Middle Name
Sophie
Credential
RN
Mailing Street Address
5782 Main St Ste 1
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8219
Mailing Country
US
Mailing Phone
(716) 833-9000
Practice Street Address
950 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1653
Practice Country
US
Practice Phone
(267) 614-6353
Enumeration Date
February 26, 2020
Last Updated
February 26, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
February 26, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)