Provider Demographics
NPI:1568222669
Name:BERNARDO, SABRINA ANN
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANN
Last Name:BERNARDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40089 BEXLEY WAY
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-4337
Mailing Address - Country:US
Mailing Address - Phone:248-231-9520
Mailing Address - Fax:
Practice Address - Street 1:231 ALBERT SABIN WAY RM 6504
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-2827
Practice Address - Country:US
Practice Address - Phone:513-558-4152
Practice Address - Fax:513-558-5203
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program