Provider Demographics
NPI:1568079804
Name:BERNARD, NATALIE IRENE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:IRENE
Last Name:BERNARD
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7610 TAMRA DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-6731
Mailing Address - Country:US
Mailing Address - Phone:775-250-8555
Mailing Address - Fax:
Practice Address - Street 1:7610 TAMRA DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-6731
Practice Address - Country:US
Practice Address - Phone:775-250-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV831693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine