Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEONA M BERGEN, ACNPC-AG
Active Sole ProprietorLEONA M BERGEN, ACNPC-AG is a General Acute Care Hospital healthcare provider located in POPLAR BLUFF, Missouri. NPI 1831636281 is currently active in the NPPES registry. Verify at CMS.
General Acute Care Hospital · POPLAR BLUFF, MO
Registration Details
- NPI Number
- 1831636281
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 24, 2017 (9.5145607876689 yrs)
- Last Updated
- Sep 10, 2024
- Licenses
-
2016037517 (MO)2019007962 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3100 OAK GROVE RDPOPLAR BLUFF, MO, 639011573Browse MO providers · Browse ZIP 63901
- Phone
- 5737762000
- Primary Specialty
-
General Acute Care Hospital
282N00000X
- Additional Specialty
- Family Nurse Practitioner
- Additional Specialty
- General Acute Care Hospital
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.