=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376079137
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIN DANIELLE BERGIN ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2017
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7545 W BOYNTON BEACH BLVD STE 201
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33437-6167
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-229-1099
-----------------------------------------------------
Fax | 561-557-5600
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7545 W BOYNTON BEACH BLVD STE 201
-----------------------------------------------------
City | BOYNTON BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33437-6167
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-229-1099
-----------------------------------------------------
Fax | 561-557-5600
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | ARNP9338201
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | ARNP9338201
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 163W00000X
-----------------------------------------------------
Taxonomy Name | Registered Nurse
-----------------------------------------------------
License Number | RN9338201
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------