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Individual
MARILISE ANNE BERNIGER
Active
Individual
MARILISE ANNE BERNIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004002
VA
363A00000X
Physician Assistant
Primary
PA02861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225124142
—
VA
05
—
202340001 (MDACC)
—
TX
01
—
88N193
BCBS (MDACC)
TX
01
—
970017769
RR MEDICARE (MDACC)
TX
Enumeration date
10/05/2006
Last updated
10/06/2023
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