Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 7064 | MN |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | APN.0991875-NP | CO |
NPI | 1295111300 |
---|---|
Provider Name | Patricia Ann Bernal |
First Address | Minneapolis, MN 55440-0043 |
Second Address | Minneapolis, MN 55407-3723 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2015 |
Last Update Date | 05/12/2019 |