Healthcare Provider Details

I. General information

NPI: 1982028544
Provider Name (Legal Business Name): DOLORES A BERNATH RN, ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 02/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18101 LORAIN AVE
CLEVELAND OH
44111-5612
US

IV. Provider business mailing address

9205 BEECH AVE
BROOKLYN OH
44144-2664
US

V. Phone/Fax

Practice location:
  • Phone: 216-476-9005
  • Fax:
Mailing address:
  • Phone: 216-570-3352
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number268551
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number15625
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: