NPI

Brenda Bergholm

NPI 1548493521

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MSN, ACNS-BC
Type
Individual
Enumeration date
2009-08-25
Last updated
2009-08-25

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Specialties

Licenses

License ID
CNS-47A

Location

Practice location
300 S 3rd W
City
Soda Springs ID
Postal code
83276-1559
Phone
(208) 547-3341

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Soda Springs, ID. 83 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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