Provider Demographics
NPI:1821321233
Name:BERGER, ORINDA (APRN/WHNP-BC)
Entity Type:Individual
Prefix:
First Name:ORINDA
Middle Name:
Last Name:BERGER
Suffix:
Gender:F
Credentials:APRN/WHNP-BC
Other - Prefix:
Other - First Name:ORINDA
Other - Middle Name:PATTY LARA
Other - Last Name:GAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:800 UNIVERSITY WAY
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-4932
Mailing Address - Country:US
Mailing Address - Phone:864-503-5191
Mailing Address - Fax:864-503-5099
Practice Address - Street 1:800 UNIVERSITY WAY
Practice Address - Street 2:HEALTH SERVICES
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4932
Practice Address - Country:US
Practice Address - Phone:864-503-5191
Practice Address - Fax:864-503-5099
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3860363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health