Individual
MRS. SUSIE BERNADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 MANSFIELD AVE, WILLIMANTIC, CT 06226-2018
(860) 450-7471
Mailing address
157 CHURCH ST, FL 19, NEW HAVEN, CT 06510-2100
(401) 338-0673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7244
CT
363LF0000X
Family Nurse Practitioner
Primary
7244
CT
Other
Enumeration date
09/22/2017
Last updated
10/07/2021
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