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Mija Berg, NP
Nurse Practitioner in Vallejo, California
NPI 1225123243

Mija Berg is a Nurse Practitioner based in Oakland, CA. Mija Berg practices in Vallejo, CA and has the professional credentials of NP. The NPI Number for Mija Berg is 1225123243 and holds a License No. NP479996 (California).

The current practice location address for Mija Berg is 243 Georgia Street, Vallejo, CA and can be reached out via phone at 707-556-8100 and via fax at 707-556-8107.

Location: 243 Georgia Street, Vallejo, CA, 94601-2322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225123243
Provider Name
Mija Berg
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
243 Georgia Street, Vallejo, CA, 94601-2322
Phone Number
707-556-8100
Fax Number
707-556-8107
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70543G 05 CA
HAP70543G 01 CA FPACT
55-1915 01 CA FQHC MEDICARE PART A
ZZZ23222Z 01 CA FQHC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
243 Georgia Street
City
Vallejo
State
California
Zip
94590
Phone Number
707-556-8100
Fax Number
707-556-8107
person
Provider Business Mailing Address Details
Address
243 Georgia Street
City
Vallejo
State
California
Zip
94590
Phone Number
707-556-8100
Fax Number
707-556-8107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP479996 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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