Provider Demographics
NPI:1861859761
Name:BERNARD, VALERIE (ACNPC - AG)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:BERNARD
Suffix:
Gender:F
Credentials:ACNPC - AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4228 HOUMA BLVD STE 530
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-3017
Mailing Address - Country:US
Mailing Address - Phone:504-456-8415
Mailing Address - Fax:
Practice Address - Street 1:4228 HOUMA BLVD STE 530
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-3017
Practice Address - Country:US
Practice Address - Phone:504-456-8415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08616363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care