Provider Demographics
NPI:1376943118
Name:BERG, BARBARA (RN)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:BERG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:LEE
Other - Last Name:WERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3333 REGIS BLVD., G-8
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1099
Mailing Address - Country:US
Mailing Address - Phone:303-964-5736
Mailing Address - Fax:303-976-5343
Practice Address - Street 1:3333 REGIS BLVD., G-8
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-1099
Practice Address - Country:US
Practice Address - Phone:303-964-5736
Practice Address - Fax:303-976-5343
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0058844163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics