DR. CORRIE TYNE BERK DNP NPI 1497299184

NPI Information

NPI: 1497299184
Provider Name: DR. CORRIE TYNE BERK, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FACULTY PHYSICIANS AND SURGEONS OF LLUSM

PECOS Registration: Yes

Address:
2020 WELLNESS WAY STE 506
LAS VEGAS, NV
ZIP 89106
Phone: (702) 823-0004
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DR. Corrie Tyne Berk, DNP is a family nurse practitioner in Las Vegas, NV with 8 years of experience. DR. Corrie Tyne Berk, DNP NPI is 1497299184. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2020 WELLNESS WAY STE 506
LAS VEGAS, NV
ZIP 89106-145
Phone: (702) 823-0004
Fax: (702) 823-0022

The NPI 1497299184 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2016 and was last updated on 10/31/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	SP017032	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	APRN002798	NEVADA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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