Individual
PATRICIA L BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
715 S 9TH ST, CANON CITY, CO 81212-4911
(719) 269-8820
Mailing address
729 MORRISON AVE, PUEBLO, CO 81005-1721
(719) 289-6947
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
10323
CO
363LF0000X
Family Nurse Practitioner
Primary
10323
CO
Other
Enumeration date
10/29/2011
Last updated
10/29/2011
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