Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 20604 | CA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP08544 | LA |
NPI | 1114226370 |
---|---|
Provider Name | Sarah M Bernhard |
First Address | Biloxi, MS 39532-5709 |
Second Address | New Orleans, LA 70118-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2011 |
Last Update Date | 29/01/2016 |