National Provider Identifier Database

AMANDA BERGMAN, MSN, FNP – NPI #1578093266
Family


Contact Information

AMANDA BERGMAN, MSN, FNP
3231 S NATIONAL AVE STE 250
SPRINGFIELD, MO65807-7304
Phone: 417-885-0827
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for AMANDA BERGMAN

NPI Number 1578093266
Credentials MSN, FNP
Entity Individual
Enumeration date 06/14/2017
Last updated 02/08/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2017019296
  • MO Medicaid: 1578093266
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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