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NPI Code Detail

MEDICARE: SAMANTHA KAY BERGEN RN

MEDICARE: SAMANTHA KAY BERGEN 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 NurseRN.454964OH

General Provider Information

NPI Number : 1588506539
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA KAY BERGEN RN
Provider Business Mailing Address
First Line : 3301 MERCY HEALTH BLVD STE 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1108
Country : US
Telephone Number : 513-751-2273
Fax Number : 513-751-1848
Provider Business Practice Location Address
First Line : 3301 MERCY HEALTH BLVD STE 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-1108
Country : US
Telephone Number : 513-751-2273
Fax Number : 513-751-1848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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