Healthcare Provider Details

I. General information

NPI: 1144642091
Provider Name (Legal Business Name): KATHY BERNSTEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2014
Last Update Date: 09/30/2020
Certification Date: 09/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST SUITE 526
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

3525 PRYTANIA ST SUITE 526
NEW ORLEANS LA
70115-3500
US

V. Phone/Fax

Practice location:
  • Phone: 504-648-2500
  • Fax: 504-899-7828
Mailing address:
  • Phone: 504-648-2500
  • Fax: 504-899-7828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAP07618
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAP07618
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: