Healthcare Provider Details

I. General information

NPI: 1962981357
Provider Name (Legal Business Name): ERIN COLLEEN MURPHY BERNARDO DNP, AGPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 W RIVER ST
PROVIDENCE RI
02904-2609
US

IV. Provider business mailing address

57 BIRCHWOOD DR
SWANSEA MA
02777-2013
US

V. Phone/Fax

Practice location:
  • Phone: 407-793-5700
  • Fax:
Mailing address:
  • Phone: 339-788-0626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN01845
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: