Provider Demographics
NPI:1497807390
Name:BERNINI FEIGAL, PAULA A (CPM)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:A
Last Name:BERNINI FEIGAL
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 13TH ST SE
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-2032
Mailing Address - Country:US
Mailing Address - Phone:715-231-3100
Mailing Address - Fax:715-231-3101
Practice Address - Street 1:321 13TH ST SE
Practice Address - Street 2:
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-2032
Practice Address - Country:US
Practice Address - Phone:715-231-3100
Practice Address - Fax:715-231-3101
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1013176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife