Provider Demographics
NPI:1205990512
Name:BERNARDY, NADIA EVA (MPAS, PA-C)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:EVA
Last Name:BERNARDY
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:EVA
Other - Last Name:ISTVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1091 MCKINLEY AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-4321
Mailing Address - Country:US
Mailing Address - Phone:814-535-5737
Mailing Address - Fax:
Practice Address - Street 1:321 MAIN ST
Practice Address - Street 2:SUITE 3C
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1632
Practice Address - Country:US
Practice Address - Phone:814-535-6521
Practice Address - Fax:814-536-4819
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052051363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant