LOANDRA BERG

PROVO, UT
NPI1023332335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  5302161-4405)
Enumeration Date2010-03-16
Last Update Date2026-05-01
Business Address
LOANDRA BERG NP
852 N 500 W
PROVO, UT 84604-3322
Phone number: 801-357-4417
Mailing Address
LOANDRA BERG NP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-4417
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