Provider Demographics
NPI:1639959729
Name:BERMUDEZ, NATALIE (PHD, RN, EBP-C)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:BERMUDEZ
Suffix:
Gender:F
Credentials:PHD, RN, EBP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5459 110TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8810
Mailing Address - Country:US
Mailing Address - Phone:561-427-3123
Mailing Address - Fax:
Practice Address - Street 1:5459 110TH AVE N
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8810
Practice Address - Country:US
Practice Address - Phone:561-427-3123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9170314163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse