Modelo, Bernadette Marie

Modelo, Bernadette Marie is an individual health care provider with primary practice located at 1296 Agvik St. Sammuel Simmonds Memorial Hospital, Barrow AK 99723-0029. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Obstetric, Inpatient. Nursing Service Providers / Critical Care Medicine is her primary health care specialty. Modelo, Bernadette Marie can be contacted via phone (907) 852-9219.

Contact Information

Primary practice address
1296 Agvik St. Sammuel Simmonds Memorial Hospital Barrow AK 99723-0029
Phone: (907) 852-9219
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 19425 Alaska
Nursing Service Providers / Obstetric, Inpatient 163WX0003X 19425 Alaska

Profile Details

NPI number 1225254360
LBN Legal business name Modelo, Bernadette Marie
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225254360 NPPES
Alaska MEDICAID 163W

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