IndividualActive
Elizabeth Berg, CPNP
NPI 1104866771 · Pediatric Nurse Practitioner · Columbia, SC
Provider details
- NPI number
- 1104866771
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- APN142 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9 Richland Medical Park Dr Ste 500
Columbia, SC 29203-6870
Phone: (803) 434-4555
Fax: (803) 434-4599
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 743904
Atlanta, GA 30374-3904
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.