Sarah Bergen, PMHNP-BD | |
2020 E 29th Ave Ste 200, Spokane, WA 99203-3948 | |
(509) 252-1366 | |
Not Available |
Full Name | Sarah Bergen |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2020 E 29th Ave Ste 200, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659724052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2016011913 (Ohio) | Primary |
Entity Name | Emily Program Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154696698 PECOS PAC ID: 5193623254 Enrollment ID: O20110419000204 |
Mailing Address | Practice Location Address |
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Sarah Bergen, PMHNP-BD 2020 E 29th Ave Ste 200, Spokane, WA 99203-3948 Ph: () - | Sarah Bergen, PMHNP-BD 2020 E 29th Ave Ste 200, Spokane, WA 99203-3948 Ph: (509) 252-1366 |
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