Andrea Ilene Bergholtz, MSN, RN, CHPN - Registered Nurse in Thousand Oaks, CA

Andrea Ilene Bergholtz, MSN, RN, CHPN is a Registered Nurse - Home Health based in Thousand Oaks, California. Andrea Ilene Bergholtz is licensed to practice in California (license number 781694) and her current practice location is 72 Moody Ct, Thousand Oaks, California. She can be reached at her office (for appointments etc.) via phone at (805) 371-9988.

NPI number for Andrea Ilene Bergholtz is 1356956619 and her current mailing address is 72 Moody Ct, Thousand Oaks, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356956619.

Contact Information

Andrea Ilene Bergholtz, MSN, RN, CHPN
72 Moody Ct,
Thousand Oaks, CA 91360-6067
(805) 371-9988
(805) 371-9987

Map and Direction




Provider's Profile

Full NameAndrea Ilene Bergholtz
GenderFemale
SpecialityRegistered Nurse - Home Health
Location72 Moody Ct, Thousand Oaks, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356956619
  • Provider Enumeration Date: 09/14/2020
  • Last Update Date: 09/14/2020

Medical Identifiers

Medical identifiers for Andrea Ilene Bergholtz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356956619NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WH0200XRegistered Nurse - Home Health 781694 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Ilene Bergholtz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrea Ilene Bergholtz, MSN, RN, CHPN
72 Moody Ct,
Thousand Oaks, CA 91360-6067

Ph: (805) 371-9988
Andrea Ilene Bergholtz, MSN, RN, CHPN
72 Moody Ct,
Thousand Oaks, CA 91360-6067

Ph: (805) 371-9988

Reviews and Comments


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