Individual
MS. MARY LOU FRANCES BERNARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-7365
(813) 449-8618
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2770652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304925600
—
FL
01
—
G3175
BCBS
FL
Enumeration date
06/19/2006
Last updated
08/23/2024
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