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Contact Information

SARAH R BERGSTROM, NP
1703 LOCUST AVE
FAIRMONT, WV26554
 Phone: 304-366-6100
 Fax: 304-366-2220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Obstetrics & Gynecology

363LX0001X 50 Nurse Practitioner
 

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SARAH R BERGSTROM · (Female)

NPI # 1306369509
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/19/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WV License # APRN83284-NP-C
  • WV License # APRN83284NP
Hospital affiliation(s) Not Available
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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