Provider Demographics
NPI:1033115704
Name:BERO, ANN F (MSN, CRNP CS)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:F
Last Name:BERO
Suffix:
Gender:F
Credentials:MSN, CRNP CS
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:F
Other - Last Name:VOLOVAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, CRNP,CS
Mailing Address - Street 1:1320 LINGLESTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2822
Mailing Address - Country:US
Mailing Address - Phone:717-732-1000
Mailing Address - Fax:717-234-0416
Practice Address - Street 1:1320 LINGLESTOWN ROAD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2822
Practice Address - Country:US
Practice Address - Phone:717-732-1000
Practice Address - Fax:717-234-0416
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP003469B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50039959OtherCAPITAL BLUE CROSS
PA0000340498OtherKEYSTONE HEALTH PLAN
PA245592OtherHEALTH AMERICA
PAP00173956OtherRAILROAD MEDICARE
PA50039959OtherCAPITAL BLUE CROSS
PA008012SGNMedicare ID - Type Unspecified