Lisa M Bergeron, APRN
Nurse Practitioner, Family in Oakdale, Connecticut
1366715179- Practice location
- 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066
- Phone
- 860-222-0949
- Fax
- 888-326-5828
- Last updated
- November 15, 2021
Lisa Marie Bergeron is a Nurse Practitioner, Family based in Oakdale, CT. Lisa Marie Bergeron practices in Oakdale, CT and has the professional credentials of APRN. The NPI Number for Lisa Marie Bergeron is 1366715179 and holds a License No. 4923 (CT). The current practice location address for Lisa Marie Bergeron is 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066 and can be reached out via phone at 860-222-0949 and via fax at 888-326-5828.
Provider Profile Details
- NPI Number
- 1366715179
- Provider Name
- Lisa Marie Bergeron
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066
- Phone Number
- 860-222-0949
- Fax Number
- 888-326-5828
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 10, 2012
- Last Update Date
- November 15, 2021
- Certification Date
- November 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 627 Norwich Salem Tpke Unit 2
Oakdale, CT 06370-1066 - City
- Oakdale
- State
- Connecticut
- Zip
- 06370-1066
- Phone Number
- 860-222-0949
- Fax Number
- 888-326-5828
Provider Business Mailing Address Details
- Address
- 627 Norwich Salem Tpke Unit 2
Oakdale, CT 06370-1066 - City
- Oakdale
- State
- CT
- Zip
- 06370-1066
- Phone Number
- 860-222-0949
- Fax Number
- 203-503-3254
License Information
- License Number
- 4923
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Oakdale, CT
View all Nurse Practitioner, Family providers in Oakdale →Frequently Asked Questions
What is the NPI number of Lisa M Bergeron, APRN?
The NPI number of Lisa M Bergeron, APRN is 1366715179. It was assigned on February 10, 2012 and is currently active in the NPPES registry.
What is the specialty of Lisa M Bergeron, APRN?
Lisa M Bergeron, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 4923.
Where does Lisa M Bergeron, APRN practice?
The practice location is 627 Norwich Salem Tpke Unit 2, Oakdale, CT 06370-1066. The office can be reached at 860-222-0949 (phone) or 888-326-5828 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366715179 directly on the NPPES registry website.