Provider Demographics
NPI:1710116561
Name:BERGL, KATE ELIZABETH (APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:ELIZABETH
Last Name:BERGL
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:STOLOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2421 WOODLAND TER
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-4824
Mailing Address - Country:US
Mailing Address - Phone:414-688-6619
Mailing Address - Fax:
Practice Address - Street 1:100 E CAMPUS VIEW BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-8628
Practice Address - Country:US
Practice Address - Phone:614-981-9238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI160703-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI3971360640OtherTITLE 19