Abby Bergman, LPN
Individual provider Active NPI Licensed Practical Nurse · Sidney, OH
NPI 1295987725 · NPPES record last updated Oct 15, 2008
Key facts
- NPI
- 1295987725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN128039 (OH)
- Practice address
- 500 E Court St
Sidney, OH 45365-2810 - Phone
- (937) 492-8080
- Fax
- (937) 492-6971
- NPI assigned
- Oct 15, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN128039 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN128039 | OH | Yes |
Addresses
Primary practice location
500 E Court St
Sidney, OH 45365-2810
Mailing address
500 E Court St
Sidney, OH 45365-2810
Phone (937) 492-8080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PN128039 | Other | OH | LICENSE |
Other providers in Sidney, OH
- Carter Daniel Bensman
- Jay Xavier Bensman
- Margaret X Bensman
- Amy Berger
- Marcus Berger
- Beth C Berning
- Michael G Beyer
- Christina M Biedermann
- Lauren Blagg
- Ashley Lynn Blankenship
All providers in Sidney, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.