Individual
MS. SANDRA MARIE BERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
Mailing address
340 W WATER ST, ROCKLAND, MA 02370-2461
(781) 871-1261
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
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