MEDICARE: TERRI LYNN ARTHUR BERGER APRN

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
1	363LP0200X	Pediatric Nurse Practitioner	ARNP1619002	FL
2	363LP0200X	Pediatric Nurse Practitioner	5022569	NC

General Provider Information

NPI Number	:	1699009928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRI LYNN ARTHUR BERGER APRN

Provider Business Mailing Address
First Line	:	3109 W DR MARTIN LUTHER KING JR BLVD STE 350
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6208
Country	:	US
Telephone Number	:	833-208-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 W DR MARTIN LUTHER KING JR BLVD STE 350
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6208
Country	:	US
Telephone Number	:	833-208-7770
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2009
Last Update Date	:	08/18/2025

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