Individual
BERNADETTE MARIE MODELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1296 AGVIK ST., SAMMUEL SIMMONDS MEMORIAL HOSPITAL, BARROW, AK 99723-0029
(907) 852-9219
Mailing address
PO BOX 29, UNIT 36, BARROW, AK 99723-0029
(907) 852-3014
(907) 852-2016
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
19425
AK
163WX0003X
Inpatient Obstetric Registered Nurse
19425
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163W
—
AK
Enumeration date
04/17/2007
Last updated
09/11/2025
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