Provider Demographics
NPI:1699397489
Name:BERNI, LAURA CHRISTINE (APRN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:CHRISTINE
Last Name:BERNI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SAN MARCO DR
Mailing Address - Street 2:
Mailing Address - City:ISLAMORADA
Mailing Address - State:FL
Mailing Address - Zip Code:33036-3305
Mailing Address - Country:US
Mailing Address - Phone:305-304-8043
Mailing Address - Fax:
Practice Address - Street 1:95360 OVERSEAS HWY STE 1
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2038
Practice Address - Country:US
Practice Address - Phone:305-852-3814
Practice Address - Fax:305-852-7417
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-14
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11005153363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care