Provider Demographics
NPI:1972841989
Name:EMERIBE, BERNADETH C
Entity Type:Individual
Prefix:
First Name:BERNADETH
Middle Name:C
Last Name:EMERIBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5309 RIVERDALE ROAD
Mailing Address - Street 2:720
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737
Mailing Address - Country:US
Mailing Address - Phone:301-779-0717
Mailing Address - Fax:
Practice Address - Street 1:5309 RIVERDALE ROAD
Practice Address - Street 2:720
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737
Practice Address - Country:US
Practice Address - Phone:301-779-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide