Individual
MRS. ANGELIA MARIE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
(315) 769-3902
Mailing address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
(315) 769-3902
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22454059
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22454059
RN LICENSE
NY
Enumeration date
04/12/2010
Last updated
04/12/2010
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