Individual
MARIE BERNARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 288-3230
(617) 288-4377
Mailing address
22 LINCOLN ST, WINCHESTER, MA 01890-2025
(781) 721-6262
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
181681
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181681
RN/NP LICENSE
MA
01
—
MB0610039I
STATE CONTROLLED LICENSE
MA
Enumeration date
05/22/2006
Last updated
03/07/2023
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