Provider Demographics
NPI:1245723089
Name:BERLING, NANCEE L (APRN)
Entity type:Individual
Prefix:
First Name:NANCEE
Middle Name:L
Last Name:BERLING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NANCEE
Other - Middle Name:L
Other - Last Name:BERLING HUBBARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:2028 S HIGHWAY 53 # 3-202
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-9119
Mailing Address - Country:US
Mailing Address - Phone:502-222-9109
Mailing Address - Fax:502-237-8779
Practice Address - Street 1:2028 S HIGHWAY 53 # 3-202
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-9119
Practice Address - Country:US
Practice Address - Phone:502-222-9109
Practice Address - Fax:502-237-8779
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1048454163W00000X
KY3012331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK268531Medicaid
6406103282OtherPECOS
KYK268530OtherMEDICARE
KYK268530OtherMEDICARE