Healthcare Provider Details

I. General information

NPI: 1447279443
Provider Name (Legal Business Name): BONNIE L. BERNSTEIN CNM, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 MERIDIAN AVE N SUITE 190
SEATTLE WA
98133-9451
US

IV. Provider business mailing address

10330 MERIDIAN AVE N SUITE 190
SEATTLE WA
98133-9451
US

V. Phone/Fax

Practice location:
  • Phone: 206-368-6670
  • Fax: 206-368-6171
Mailing address:
  • Phone: 206-368-6670
  • Fax: 206-368-6171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30002184
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP30002184
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00102228
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: