Healthcare Provider Details

I. General information

NPI: 1376943118
Provider Name (Legal Business Name): BARBARA BERG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA LEE WERNER RN

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 08/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 REGIS BLVD., G-8
DENVER CO
80221-1099
US

IV. Provider business mailing address

3333 REGIS BLVD., G-8
DENVER CO
80221-1099
US

V. Phone/Fax

Practice location:
  • Phone: 303-964-5736
  • Fax: 303-976-5343
Mailing address:
  • Phone: 303-964-5736
  • Fax: 303-976-5343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number0058844
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: