NPI 1851091417

Dawn Elizabeth Bergeron, FMCHCANDIHP

Practitioner Religious Nonmedical Practitioner Bloomington, IL

Practice location

Address: 2901 Lone Oak Rd, Bloomington, IL 61705-7802
Phone: (309) 846-0899

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X Licence 171400000X (IL)

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Registry record

NPI: 1851091417
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Mar 2023
Record last updated: 3 Mar 2023

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.