Individual
BERNADETTE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 673-3182
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
(508) 673-3182
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
363LA2200X
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN131791
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
RN24344
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102124A
—
MA
01
—
306971
BLUE CROSS BLUE SHIELD
RI
01
—
RN131791
MA LICENSE
MA
Enumeration date
08/30/2006
Last updated
07/21/2022
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