Individual
MRS. PENNY MARIE BERNARDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
WEST PAVILLON 2ND FLOOR 130 2ND STREET, THE NEUROSCIENCE GROUP OF NE WI, NEENAH, WI 54956-2883
(920) 725-9373
(920) 720-7392
Mailing address
WEST PAVILLON 2ND FLOOR 130 2ND STREET, THE NEUROSCIENCE GROUP OF NE WI, NEENAH, WI 54956-2883
(920) 725-9373
(920) 720-7392
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
89144
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41921000
—
WI
Enumeration date
06/13/2006
Last updated
07/08/2007
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