NPI 1144671512

Catherine Ann Bergholz

Practitioner Personal Care Attendant Kenton, DE

Practice location

Address: 136 West Commerce Street, Kenton, DE 19955-0023
Phone: (302) 272-6958
Mailing address: PO Box 23, Kenton, DE 19955-0023

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 2015605082 (DE)

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Registry record

NPI: 1144671512
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2016
Record last updated: 28 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.