Provider Demographics
NPI:1972005130
Name:BERGEN RNFA LLC
Entity Type:Organization
Organization Name:BERGEN RNFA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNFA
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAVANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-410-6179
Mailing Address - Street 1:2A SWEENEY CT
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1786
Mailing Address - Country:US
Mailing Address - Phone:201-410-6179
Mailing Address - Fax:
Practice Address - Street 1:2A SWEENEY CT
Practice Address - Street 2:
Practice Address - City:MONTVALE
Practice Address - State:NJ
Practice Address - Zip Code:07645-1786
Practice Address - Country:US
Practice Address - Phone:201-410-6179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-05
Last Update Date:2018-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Single Specialty