Bernard, Elizabeth Mary

Bernard, Elizabeth Mary is an individual health care provider with primary practice located at 87 Mattlage Pl , Englewood NJ 07631-3333. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bernard, Elizabeth Mary can be contacted via phone (917) 292-0522.

Contact Information

Primary practice address
87 Mattlage Pl Englewood NJ 07631-3333
Phone: (917) 292-0522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335855 New York

Profile Details

NPI number 1982845558
LBN Legal business name Bernard, Elizabeth Mary
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Sep 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982845558 NPPES
New York MEDICAID 01803525
New York Other 1982845558

Popular Providers