MEDICARE: MS. VANIA E. BERNATSKY N.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	NP12866	CA

General Provider Information

NPI Number	:	1093933251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VANIA E. BERNATSKY N.P.

Provider Business Mailing Address
First Line	:	105 RANCHO RIO AVE
Second Line	:
City	:	BEN LOMOND
State	:	CA
Zip	:	95005-9414
Country	:	US
Telephone Number	:	831-724-1811
Fax Number	:

Provider Business Practice Location Address
First Line	:	598 BROWNS VALLEY RD
Second Line	:
City	:	WATSONVILLE
State	:	CA
Zip	:	95076-0334
Country	:	US
Telephone Number	:	831-763-0843
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	01/15/2015

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