Provider Demographics
NPI:1528747375
Name:BERGH, JOY MELINDA (RN, APRN)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:MELINDA
Last Name:BERGH
Suffix:
Gender:F
Credentials:RN, APRN
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:M
Other - Last Name:MADSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, APRN
Mailing Address - Street 1:27851 S RAIN VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:AZ
Mailing Address - Zip Code:85611-6933
Mailing Address - Country:US
Mailing Address - Phone:520-334-8025
Mailing Address - Fax:
Practice Address - Street 1:27851 S RAIN VALLEY RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:AZ
Practice Address - Zip Code:85611-6933
Practice Address - Country:US
Practice Address - Phone:520-334-8025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ240441364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health