Lundberg, Bertine Metago
Lundberg, Bertine Metago is an individual health care provider with primary practice located at 1255 Highway 54 W , Fayetteville GA 30214-4526. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Lundberg, Bertine Metago can be contacted via phone (404) 367-3014.Contact Information
Primary practice address
1255 Highway 54 W
Fayetteville GA 30214-4526
Phone: (404) 367-3014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 296527 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN245551 | Georgia |
Profile Details
| NPI number | 1821231861 |
|---|---|
| LBN Legal business name | Lundberg, Bertine Metago |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2009 |
| Last updated | Sep 19th, 2022 - about 4 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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