Individual
KEISHA BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 W 7TH ST, FREDERICK, MD 21701-4586
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
NP1018076
DC
363LF0000X
Family Nurse Practitioner
Primary
R187083
MD
Other
Enumeration date
11/12/2015
Last updated
12/04/2023
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