Doctor Name: | CECILLE BERNAD |
NPI Number: | 1013370915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, AG-ACNP |
License Number: | 95003683 |
Business Practice Address: | 11285 Mountain View Ave 40 Loma Linda, CA - 923543862 |
Business Phone Number: | 9095585844 |
Business Fax Number: | 9095587873 |
Mailing Address: | 11285 Mountain View Ave, 40 LOMA LINDA |
State: | CA |
Postal Code: | 923543862 |
Phone Number: | 9095585844 |
Fax Number: | 9095587873 |
NPI Enumeration Date: | 03/30/2016 |
NPI Last Update Date: | 04/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 95003683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |