Provider Demographics
NPI:1932316585
Name:BERNTSEN CURTISS, LINDA KAREN (RN, APRN, BC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAREN
Last Name:BERNTSEN CURTISS
Suffix:
Gender:F
Credentials:RN, APRN, BC
Other - Prefix:
Other - First Name:L
Other - Middle Name:K
Other - Last Name:BERNTSEN CURTISS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN RN BC
Mailing Address - Street 1:58 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:SHERBORN
Mailing Address - State:MA
Mailing Address - Zip Code:01770-1023
Mailing Address - Country:US
Mailing Address - Phone:508-653-5796
Mailing Address - Fax:617-566-4776
Practice Address - Street 1:1350 MAIN ST STE 21
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-1718
Practice Address - Country:US
Practice Address - Phone:617-750-3169
Practice Address - Fax:508-545-8134
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2020-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA107660363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA516642860OtherPACIFICARE BEHAVIORAL HEALTH
MA516642860OtherUNITED BEHAVIORAL CARE
MAPN0917OtherBLUE SHIELD MASSACHUSETTS
MA516642860OtherPACIFICARE BEHAVIORAL HEALTH