NPI 1477628527 · live from the CMS NPI Registry
Colleen Marie Berg, N.P.
Nurse Practitioner in Wareham, MA. National Provider Identifier 1477628527, active.
NPI record
| NPI | 1477628527 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 100 Rosebrook Way, Southcoast Physician Services, INC. 3rd Floor, Wareham, MA 02571 |
| Practice phone | 508-273-4900 |
| Mailing address | 370 Faunce Corner Road, Southcoast Physician Services, INC., North Dartmouth, MA 02747 |
| Enumerated | November 22, 2006 |
| Last updated | June 16, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 142625 (MA) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 142625 (MA) |
| Nurse Practitioner primary | 363L00000X | RN142625 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.