Provider Demographics
NPI:1295365591
Name:FLORIDO-BERGAD, HEDIT (DNP)
Entity type:Individual
Prefix:
First Name:HEDIT
Middle Name:
Last Name:FLORIDO-BERGAD
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5995 OREN AVE N STE 203
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-6379
Mailing Address - Country:US
Mailing Address - Phone:651-217-1480
Mailing Address - Fax:
Practice Address - Street 1:5995 OREN AVE N STE 203
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-6379
Practice Address - Country:US
Practice Address - Phone:651-217-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-25
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2403236363LS0200X, 163WP0808X
MN9457363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health