Provider Demographics
NPI:1295955870
Name:BERNARD, MELANIE LOUISE (RN)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:LOUISE
Last Name:BERNARD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 LAMPLIGHTER LN
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2328
Mailing Address - Country:US
Mailing Address - Phone:978-251-9377
Mailing Address - Fax:
Practice Address - Street 1:5 LAMPLIGHTER LN
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-2328
Practice Address - Country:US
Practice Address - Phone:978-251-9377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232717163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse