IndividualActive
Dustin Berg, RN, BSN
NPI 1780139063 · Registered Nurse · Frederick, CO
Provider details
- NPI number
- 1780139063
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN, BSN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0177734 (CO)
Specialties & taxonomies
Nursing Service Providers
Practice location
8201 Raspberry Dr
Frederick, CO 80504-6772
Phone: (303) 905-0449
Approximate (ZIP-level) locationGet directions
Mailing address
8201 Raspberry Dr
Frederick, CO 80504-6772
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2016-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.