Individual
MRS. ANGELA SUSANNE BERNDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN218258
Contact information
Practice address
55 WHITCHER ST NE, SUITE 460, MARIETTA, GA 30060-1155
(770) 427-7389
(770) 427-1492
Mailing address
131 RADIUM ST NW APT 4, MARIETTA, GA 30060-1369
(770) 380-5835
(770) 427-1492
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN218258
GA
363LA2200X
Adult Health Nurse Practitioner
RN218258
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN218258
RN LICENSE
GA
Enumeration date
12/16/2014
Last updated
06/15/2023
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