| NPI | 1548153570 |
|---|---|
| Former Name | NICOLE MICHELLE BERGERON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0039459) |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-06-11 |