Provider Demographics
NPI:1285939553
Name:BERGE, KARINA MANAYAN (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KARINA
Middle Name:MANAYAN
Last Name:BERGE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:BAGASLAO
Other - Last Name:MANAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FBP-C
Mailing Address - Street 1:2315 STOCKTON BLVD
Mailing Address - Street 2:SUITE 6220
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-2264
Mailing Address - Fax:916-734-3433
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:SUITE 6220
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-2264
Practice Address - Fax:916-734-3433
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20223363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily