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NPI Code Detail

MEDICARE: BERGRETA M BEAN RN

MEDICARE:   BERGRETA M BEAN  RN
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
1163W00000XRegistered NurseRN9670795FL

General Provider Information

NPI Number : 1447127170
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERGRETA M BEAN RN
Provider Business Mailing Address
First Line : 4003 W HAMILTON KY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-7441
Country : US
Telephone Number : 561-389-5748
Fax Number :
Provider Business Practice Location Address
First Line : 4003 W HAMILTON KY
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-7441
Country : US
Telephone Number : 561-389-5748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2025
Last Update Date : 10/17/2025

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