Healthcare Provider Details

I. General information

NPI: 1497224224
Provider Name (Legal Business Name): CIMBERLY FAYE BERG-HOOKER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CIMBERLY FAY BERG FNP-BC

II. Dates (important events)

Enumeration Date: 11/22/2018
Last Update Date: 11/20/2025
Certification Date: 09/26/2023
Deactivation Date: 11/04/2025
Reactivation Date: 11/20/2025

III. Provider practice location address

310 2ND AVE EAST
WESTHOPE ND
58793-4033
US

IV. Provider business mailing address

2033 LAKESIDE ST
MINOT ND
58703-0894
US

V. Phone/Fax

Practice location:
  • Phone: 701-245-6638
  • Fax: 701-534-0116
Mailing address:
  • Phone: 701-720-0737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR30392
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: