| Ms Vicki Lynne Berg, RN | |
|
701 Lewiston St., St. Mary's Hospital & Clinics, Cottonwood, ID 83522-0137 | |
| (208) 962-3267 | |
| (208) 962-2313 |
| Full Name | Ms Vicki Lynne Berg |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Diabetes Educator |
| Location | 701 Lewiston St., Cottonwood, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033240098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WD0400X | Registered Nurse - Diabetes Educator | R59893 (New Mexico) | Secondary |
| 163WD0400X | Registered Nurse - Diabetes Educator | N-19516 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Vicki Lynne Berg, RN Po Box 137 701 Lewiston St, St. Mary's Hospital & Clinics, Cottonwood, ID 83522-0137 Ph: (208) 962-3267 | Ms Vicki Lynne Berg, RN 701 Lewiston St., St. Mary's Hospital & Clinics, Cottonwood, ID 83522-0137 Ph: (208) 962-3267 |
Rebecca S Kirk-ewing, RN CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 Fax: 208-962-2323 |