Search › Idaho › 171100000X
Heather Bergstrom, LAC
NPI 1205166527 · on the registry since 2010 · sole proprietor
Practice
- Address
- 9951 W St Lukes Dr
Nampa, ID 83687 - Phone
- (208) 467-6700
- Organisation at this address
- St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Additional practice sites
- 1500 W. Barrett Dr., Meridian, ID
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho