National Provider Identifier

Kristina Kathleen Bergeron, L.P.N

Kristina Kathleen Bergeron, L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 328-0196.

NPI 1912272386Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1912272386
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 18, 2012
Last Updated
March 18, 2012

Practice Location

  • 61 Black Creek RD
  • Rochester, NY 14623-1945

Phone: (585) 328-0196

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1912272386
Entity Type
Individual
Last Name
Bergeron
First Name
Kristina
Middle Name
Kathleen
Credential
L.P.N
Mailing Street Address
61 Black Creek RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-1945
Mailing Country
US
Mailing Phone
(585) 328-0196
Practice Street Address
61 Black Creek RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-1945
Practice Country
US
Practice Phone
(585) 328-0196
Enumeration Date
March 18, 2012
Last Updated
March 18, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)