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NPI Code Detail

MEDICARE: FREDERICK WESLEY BERNHOFER APRN

MEDICARE: FREDERICK WESLEY BERNHOFER APRN
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
1163W00000XRegistered Nurse.469815OH
2363LP0808XPsychiatric/Mental Health Nurse Practitioner112052-23NH

General Provider Information

NPI Number : 1992576474
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK WESLEY BERNHOFER APRN
Provider Business Mailing Address
First Line : 1 ELLIOT WAY
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-3599
Country : US
Telephone Number : 603-669-5300
Fax Number :
Provider Business Practice Location Address
First Line : 1 ELLIOT WAY
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-3599
Country : US
Telephone Number : 603-669-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2024
Last Update Date : 12/20/2025

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