Bergum, Tracy L

Bergum, Tracy L is an individual health care provider with primary practice located at 415 S 8Th St , Watertown WI 53094-4730. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bergum, Tracy L can be contacted via phone (920) 206-7797.

Contact Information

Primary practice address
415 S 8Th St Watertown WI 53094-4730
Phone: (920) 206-7797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 98981-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F08191041 Wisconsin

Profile Details

NPI number 1750929972
LBN Legal business name Bergum, Tracy L
Credentials MSN, FNP-C, APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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