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Individual

MRS. KAREN MARIE BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
27871 MEDICAL CENTER RD STE 200, MISSION VIEJO, CA 92691-6406
(760) 519-6632
(973) 924-1457
Mailing address
PO BOX 516, OCEANSIDE, CA 92049-0516
(760) 519-6632
(973) 924-1457

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
409982
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
1876
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GC780Z
MEDICARE PTAN
CA
Enumeration date
11/09/2006
Last updated
10/22/2015
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