Individual
ELIZABETH BERENDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
(270) 798-8556
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
(270) 798-8556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN607106
PA
363LF0000X
Family Nurse Practitioner
Primary
091225-23
NH
Other
Enumeration date
10/27/2020
Last updated
08/14/2024
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