Provider Demographics
NPI:1750778908
Name:BERGER, DEBRA H (DRNP)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:H
Last Name:BERGER
Suffix:
Gender:F
Credentials:DRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 RIVAGE CT
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-1346
Mailing Address - Country:US
Mailing Address - Phone:504-454-2963
Mailing Address - Fax:
Practice Address - Street 1:4008 RIVAGE CT
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-1346
Practice Address - Country:US
Practice Address - Phone:504-454-2963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03704363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care