Individual
BERNADETTE N. NELSON
Active
Individual
BERNADETTE N. NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9209602
FL
363LF0000X
Family Nurse Practitioner
Primary
F333417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306640100
—
NY
01
—
Y064G
MEDICARE ID UNSPECIFIED
NY
01
—
Y064X
MEDICARE ID UNSPECIFIED
NY
01
—
Y064Y
MEDICARE ID UNSPECIFIED
NY
Enumeration date
02/22/2006
Last updated
11/19/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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