Mrs. Sandra Berardy
Nurse Practitioner
75 Route 2 Mashantucket Pequot Indian Health Services
Ledyard
, Connecticut 06339
Mrs. Sandra Berardy
Nurse Practitioner
75 Route 2 Mashantucket Pequot Indian Health Services
Ledyard
, Connecticut 06339
(860) 312-8036
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Mrs. Sandra Berardy
- 24 Baldwin Ct
- Uncasville, CT
- Zip : 06382-1833
- Fax : (860) 312-8036
- Phone : (860) 848-7309
Second Address
- Mrs. Sandra Berardy
- 75 Route 2 Mashantucket Pequot Indian Health Services
- Ledyard, CT
- Zip : 06339
- Fax : (860) 312-8036
- Phone : (860) 312-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 001034 | CT |
National Provider Identifier
| NPI | 1003965450 |
|---|---|
| Provider Name | Mrs. Sandra Berardy |
| First Address | Uncasville, CT 06382-1833 |
| Second Address | Ledyard, CT 06339 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2007 |
| Last Update Date | 26/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001034 | APRN (01) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.