Individual
ELIZABETH MARY BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
87 MATTLAGE PL, ENGLEWOOD, NJ 07631-3333
(917) 292-0522
Mailing address
87 MATTLAGE PL, ENGLEWOOD, NJ 07631-3333
(201) 567-1283
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
335855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01803525
—
NY
01
—
1982845558
NPI
—
Enumeration date
03/11/2009
Last updated
09/26/2012
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