Healthcare Provider Details

I. General information

NPI: 1366860579
Provider Name (Legal Business Name): NATALIE MARIE BERNER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8405 W ALAMEDA AVE
LAKEWOOD CO
80226
US

IV. Provider business mailing address

8950 E LOWRY BLVD
DENVER CO
80230-7030
US

V. Phone/Fax

Practice location:
  • Phone: 720-974-4943
  • Fax:
Mailing address:
  • Phone: 888-992-2464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2004503
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberPHA.0020714
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: