Individual
RICHARD BERNARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3053 N CLEAR FORK RD, SEVIERVILLE, TN 37862-7933
(865) 621-1172
Mailing address
3053 N CLEAR FORK RD, SEVIERVILLE, TN 37862-7933
(865) 621-1172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186254
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186254
NURSE LICENSE
TN
Enumeration date
03/31/2020
Last updated
03/31/2020
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