Provider Demographics
NPI:1477716314
Name:BERNING, CAROL ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:BERNING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:KREILICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:309 N. MAIN ST.
Mailing Address - Street 2:BOX 212
Mailing Address - City:ARCADIA
Mailing Address - State:OH
Mailing Address - Zip Code:44804-0212
Mailing Address - Country:US
Mailing Address - Phone:419-356-4526
Mailing Address - Fax:419-318-4551
Practice Address - Street 1:309 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:OH
Practice Address - Zip Code:44804-0212
Practice Address - Country:US
Practice Address - Phone:419-356-4526
Practice Address - Fax:419-318-4551
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN227968163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health