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NPI Code Detail

MEDICARE: ALISON LEONARD BERGERON

MEDICARE:   ALISON LEONARD BERGERON
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
1363L00000XNurse PractitionerAP07458LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568895969
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON LEONARD BERGERON
Provider Business Mailing Address
First Line : 8166 MAIN ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-3404
Country : US
Telephone Number : 985-873-4141
Fax Number :
Provider Business Practice Location Address
First Line : 115 EUREKA DR
Second Line :
City : GRAY
State : LA
Zip : 70359-3247
Country : US
Telephone Number : 985-873-4729
Fax Number : 985-873-4728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2013
Last Update Date : 06/27/2023

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Directions to “ ALISON LEONARD BERGERON ” Practice Location

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