Provider Demographics
NPI:1144409848
Name:BERGER, AMY JEAN (RNC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:JEAN
Last Name:BERGER
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6969 W 90TH AVE APT 1138
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-7026
Mailing Address - Country:US
Mailing Address - Phone:303-248-9853
Mailing Address - Fax:
Practice Address - Street 1:6969 W 90TH AVE APT 1138
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-7026
Practice Address - Country:US
Practice Address - Phone:303-248-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO113678163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse