Individual
MONIQUE A BERNTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-5703
Mailing address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-5703
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
784750
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
RN.296741-COA1
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472300
—
OH
Enumeration date
06/22/2006
Last updated
10/01/2012
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