STEPHANI MICHELLE BERGSTROM

LOUISVILLE, KY
NPI1306147087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: KY  1113038)
Enumeration Date2010-11-10
Last Update Date2010-11-10
Business Address
Mrs. STEPHANI MICHELLE BERGSTROM CRNA
4001 DUTCHMANS LN
LOUISVILLE, KY 40207-4714
Phone number: 502-893-1000
Mailing Address
Mrs. STEPHANI MICHELLE BERGSTROM CRNA
601 S FLOYD ST SUITE NUMBER 407
LOUISVILLE, KY 40202-1835
Phone number: 502-629-2880