Healthcare Provider Details

I. General information

NPI: 1184116790
Provider Name (Legal Business Name): CAROLINE BERNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE BARONE

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 09/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810
US

IV. Provider business mailing address

32 CONCORD AVE
NORTH KINGSTOWN RI
02852-5826
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number7733
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: