Provider Demographics
NPI:1982150280
Name:RANIT, BERNADETTE (RN)
Entity Type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:
Last Name:RANIT
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 1:4150 78TH STREET
Mailing Address - Street 2:APT 308
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1903
Mailing Address - Country:US
Mailing Address - Phone:929-215-0900
Mailing Address - Fax:
Practice Address - Street 1:4150 78TH STREET
Practice Address - Street 2:APT 308
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1903
Practice Address - Country:US
Practice Address - Phone:929-215-0900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 569682163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health