=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831155936
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHERRIE H BERNAT NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2006
-----------------------------------------------------
Last Update Date | 10/08/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 899 MAIN ST WILLIAM E MOSHER HEALTH CENTER
-----------------------------------------------------
City | BUFFALO
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14203-1109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-878-2700
-----------------------------------------------------
Fax | 716-504-5544
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 800 CARTER ST ATTN KELLY STEELE
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14621-2604
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 585-339-4793
-----------------------------------------------------
Fax | 585-336-4845
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | 420113
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------