NPI 1215656459 · live from the CMS NPI Registry
Alynn Ann Berg
Nurse Practitioner, Pediatrics in Ashland, KY. National Provider Identifier 1215656459, active.
NPI record
| NPI | 1215656459 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4700 Southern Hills Dr, Ashland, KY 41102 |
| Practice phone | 832-928-3863 |
| Enumerated | August 23, 2022 |
| Last updated | August 23, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Pediatrics | 163WP0200X | 1138022 (KY) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 3008404 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.