Healthcare Provider Details

I. General information

NPI: 1215493531
Provider Name (Legal Business Name): VALERIE BERNIER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2019
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 KILVERT ST STE 310
WARWICK RI
02886-1360
US

IV. Provider business mailing address

475 KILVERT ST STE 310
WARWICK RI
02886-1360
US

V. Phone/Fax

Practice location:
  • Phone: 401-302-4460
  • Fax: 888-260-1450
Mailing address:
  • Phone: 401-302-4460
  • Fax: 888-260-1450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN02073
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN56209
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2294681
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2294681
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: