Individual
MS. SUSAN M BERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1373 E STATE ROAD 62, LEVEL 2, MADISON, IN 47250-7328
(812) 801-0300
(812) 801-0585
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
71002808A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71002808A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201158690
—
IN
05
—
7100405220
—
KY
Enumeration date
09/10/2008
Last updated
10/13/2025
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