Provider Demographics
NPI:1699814210
Name:BERNACET, MARIA CRISTINA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CRISTINA
Last Name:BERNACET
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 TOMAHAWK LN
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4021
Mailing Address - Country:US
Mailing Address - Phone:203-661-1114
Mailing Address - Fax:
Practice Address - Street 1:9 TOMAHAWK LN
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4021
Practice Address - Country:US
Practice Address - Phone:203-661-1114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT026362164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse