Individual
DR. JANEEN BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-2315
(574) 335-1011
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 335-8700
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
70000183A
IN
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
70000183A
IN
364SM0705X
Medical-Surgical Clinical Nurse Specialist
70000183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000934916
BCBS
IN
05
—
201230060
—
IN
Enumeration date
08/28/2013
Last updated
09/17/2015
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