Provider Demographics
NPI:1497998280
Name:BERGER, PATTY LURZ (RN)
Entity Type:Individual
Prefix:
First Name:PATTY
Middle Name:LURZ
Last Name:BERGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-4638
Mailing Address - Country:US
Mailing Address - Phone:701-667-2884
Mailing Address - Fax:701-663-0211
Practice Address - Street 1:3015 MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-4638
Practice Address - Country:US
Practice Address - Phone:701-667-2884
Practice Address - Fax:701-663-0211
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR28102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse