Provider Demographics
NPI:1497483739
Name:BERNARTE, BERNARDO LOPE (RN)
Entity Type:Individual
Prefix:
First Name:BERNARDO LOPE
Middle Name:
Last Name:BERNARTE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13306 JASMINE PEAK CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-1926
Mailing Address - Country:US
Mailing Address - Phone:281-639-9807
Mailing Address - Fax:
Practice Address - Street 1:13306 JASMINE PEAK CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-1926
Practice Address - Country:US
Practice Address - Phone:281-639-9807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX736602163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology