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Individual

MS. BERNADINE MARIE FLORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
3807 SPRING STREET, RACINE, WI 53405-1667
(262) 687-8383
(262) 687-2418
Mailing address
3807 SPRING STREET, RACINE, WI 53405
(262) 687-8383
(262) 687-2418

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4547-033
WI
363LG0600X
Gerontology Nurse Practitioner
4547-033
WI

Other

Enumeration date
10/18/2011
Last updated
10/18/2011
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