Healthcare Provider Details

I. General information

NPI: 1851328405
Provider Name (Legal Business Name): MARGARET RENA BERNSTEIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET RENA BERNSTEIN APRN

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S HOSPITAL OF PHILADELPHIA MAIN BUILDING, SUITE 8416
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

202 N MARION AVE
WENONAH NJ
08090-2128
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-1000
  • Fax: 215-590-7766
Mailing address:
  • Phone: 215-590-3174
  • Fax: 215-590-3053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberNC54194
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: