Randi Marie Berg
Nurse Practitioner - Pediatrics
9040 Reid St
Tacoma
, Washington 98431-1100
Randi Marie Berg
Nurse Practitioner - Pediatrics
9040 Reid St
Tacoma
, Washington 98431-1100
(360) 491-0529
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Randi Marie Berg
- 4109 74th Ave Se
- Olympia, WA
- Zip : 98501-9602
- Phone : (360) 491-0529
Second Address
- Randi Marie Berg
- 9040 Reid St
- Tacoma, WA
- Zip : 98431-1100
- Phone : (253) 968-2315
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | AP30001161 | WA |
National Provider Identifier
| NPI | 1023069184 |
|---|---|
| Provider Name | Randi Marie Berg |
| First Address | Olympia, WA 98501-9602 |
| Second Address | Tacoma, WA 98431-1100 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.