Individual
MARY JOSPEHINE BERNHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12 NORFOLK RD, LITCHFIELD, CT 06759-2537
(860) 567-0557
Mailing address
PO BOX 80, 12 NORFOLK RD, LITCHFIELD, CT 06759-0080
(860) 567-0557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9184500
FL
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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