Provider Demographics
NPI:1952583916
Name:BERNARD, KRISTEN ANN (MIDWIFE)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:ANN
Last Name:BERNARD
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MAIN ST
Mailing Address - Street 2:SUIT 1
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2356
Mailing Address - Country:US
Mailing Address - Phone:413-256-6166
Mailing Address - Fax:
Practice Address - Street 1:34 MAIN ST
Practice Address - Street 2:SUIT 1
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2356
Practice Address - Country:US
Practice Address - Phone:413-256-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT APPLICABLE175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay