Individual
BERNADE JEAN MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 OLD TURNPIKE RD, SUITE 105, NANUET, NY 10954-2532
(845) 624-0260
Mailing address
20 OLD TURNPIKE RD, SUITE 105, NANUET, NY 10954-2532
(845) 624-0260
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
282248
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282248
LICENSED PRACTICAL NURSE
NY
Enumeration date
02/24/2010
Last updated
02/24/2010
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