Provider Demographics
NPI:1235435611
Name:BERGE, KARA MEGAN (BSN, RNC-NIC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MEGAN
Last Name:BERGE
Suffix:
Gender:F
Credentials:BSN, RNC-NIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4594 BURMA RD
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-9816
Mailing Address - Country:US
Mailing Address - Phone:816-456-2037
Mailing Address - Fax:
Practice Address - Street 1:4594 BURMA RD
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-9816
Practice Address - Country:US
Practice Address - Phone:816-456-2037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI172472-030163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health