Doctor Name: | PATRICIA L BERNDT |
NPI Number: | 1114203502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 10323 |
Business Practice Address: | 715 S 9th St Canon City, CO - 812124911 |
Business Phone Number: | 7192698820 |
Business Fax Number: | |
Mailing Address: | 729 Morrison Ave, PUEBLO |
State: | CO |
Postal Code: | 810051721 |
Phone Number: | 7192896947 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2011 |
NPI Last Update Date: | 10/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 10323 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |