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NPI Code Detail

MEDICARE: MS. SHARLA MAE BERG NP

MEDICARE: MS. SHARLA MAE BERG NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.0036197OH
2363LA2100XAcute Care Nurse Practitioner0036197OH

General Provider Information

NPI Number : 1043060528
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARLA MAE BERG NP
Provider Business Mailing Address
First Line : 2213 CHERRY ST UNIT B
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2213 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2603
Country : US
Telephone Number : 419-251-5155
Fax Number : 419-251-5160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2024
Last Update Date : 04/30/2026

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