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Contact Information

DEBRA L BERGSTROM, NP
1401 10TH ST STE C
ALAMOGORDO, NM88310-5012
 Phone: 575-437-4533
 Fax: 575-437-5009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DEBRA L BERGSTROM · (Female)

NPI Number 1780670398
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 09/20/2005
Last updated 07/16/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 057927
  • AZ Medicaid 560103
Hospital affiliation(s)
  • SUMMIT HEALTHCARE REGIONAL MEDICAL CENTER - (Acute Care)
    2200 SHOW LOW LAKE ROAD
    SHOW LOW, AZ 85901
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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