Brenda Bergholm, MSN, ACNS-BC is a
Clinical Nurse Specialist - Adult Health based in Soda Springs, Idaho. Brenda Bergholm is licensed to practice in Idaho (license number CNS-47A) and her current practice location is
300 S 3rd W, Soda Springs, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 547-3341.
NPI number for Brenda Bergholm is 1548493521 and her current mailing address is 300 S 3rd W, Soda Springs, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548493521.
Provider's Profile
| Full Name | Brenda Bergholm |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Adult Health |
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| Location | 300 S 3rd W, Soda Springs, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548493521
- Provider Enumeration Date: 08/25/2009
- Last Update Date: 08/25/2009
Medical Identifiers
Medical identifiers for Brenda Bergholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548493521 | NPI | - | NPPES |
| CNS-47A | Other | ID | IDAHO STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | CNS-47A (Idaho) | 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. Brenda Bergholm 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 Address | Practice Location Address |
|---|
Brenda Bergholm, MSN, ACNS-BC
300 S 3rd W,
Soda Springs, ID 83276-1559
Ph: (208) 547-3341 | Brenda Bergholm, MSN, ACNS-BC
300 S 3rd W,
Soda Springs, ID 83276-1559
Ph: (208) 547-3341 |
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