Individual
MS. SANDRA MARIE BERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
120504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390470
—
MA
01
—
NP3846
BCBS
—
Enumeration date
08/16/2005
Last updated
02/13/2009
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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