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NPI Code Detail

MEDICARE: MRS. CAITLIN ELIZABETH BERNHARD MSN, FNP-BC

MEDICARE: MRS. CAITLIN ELIZABETH BERNHARD MSN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF338665NY
2363LF0000XFamily Nurse PractitionerRN2282856MA

General Provider Information

NPI Number : 1578982997
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAITLIN ELIZABETH BERNHARD MSN, FNP-BC
Provider Business Mailing Address
First Line : 884 FLUSHING AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 165 UNIVERSITY DR
Second Line :
City : AMHERST
State : MA
Zip : 01002-8900
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2014
Last Update Date : 01/08/2015

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