| Doctor Name: | BERNADETTE MARIE MODELO |
| NPI Number: | 1225254360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 19425 |
| Business Practice Address: | 1296 Agvik St. Sammuel Simmonds Memorial Hospital Barrow, AK - 997230029 |
| Business Phone Number: | 9078529219 |
| Business Fax Number: | |
| Mailing Address: | Po Box 29, Unit 36 BARROW |
| State: | AK |
| Postal Code: | 997230029 |
| Phone Number: | 9078523014 |
| Fax Number: | 9078522016 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0200X |
| License Number: | 19425 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | AK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |