Provider Demographics
NPI:1356573364
Name:BERGER, ARLENE KAREN (RN CS NP PHD)
Entity type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:KAREN
Last Name:BERGER
Suffix:
Gender:F
Credentials:RN CS NP PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3629
Mailing Address - Country:US
Mailing Address - Phone:703-549-3881
Mailing Address - Fax:703-549-2427
Practice Address - Street 1:401 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3629
Practice Address - Country:US
Practice Address - Phone:703-549-3881
Practice Address - Fax:703-549-2427
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-10
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN66369363LP0808X
MDPMH063841364S00000X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist