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Contact Information

MOLLY R BERG, CNP
1417 S CLIFF AVE
STE 100
SIOUX FALLS, SD57105-1063
 Phone: 605-322-8937
 Fax: 605-322-8938
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Perinatal

363LP1700X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MOLLY R BERG · (Female)

NPI # 1902878523
Status Active
Credentials CNP (Certified Nurse Practitioner)
Entity Individual
Enumeration date 02/07/2006
Last updated 10/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SD License # CP000444
  • IA Medicaid 0503706
  • MN Medicaid 122586300
  • NE Medicaid 10025040700
  • SD Medicaid 6828250
  • SD Medicaid 6828252
  • MN Other 263P6DA BLUE CROSS
  • MN Other 263P6DA CC SYSTEMS/ BLUE PLUS
  • MN Other 924114229808 PRIMEWEST
  • SD Other 2387950 ARAZ/ AMERICA'S PPO
  • SD Other 4994372 BLUE CROSS
  • SD Other 9243925 DAKOTACARE
  • SD Other 370624200 DEPT OF LABOR
  • SD Other HP55698 HEALTHPARTNERS
  • SD Other 0705288 MEDICA
  • SD Other 248008 MIDLANDS CHOICE
  • SD Other 283761045257 PREFERRED ONE
  • SD Other 57105AD04 WPS TRICARE
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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