Brianna Nicole Bernett

Individual provider Active NPI Athletic Trainer · Pardeeville, WI

NPI 1033743141 · NPPES record last updated Apr 23, 2021

Key facts

NPI
1033743141
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
N5542 Polaris Dr
Pardeeville, WI 53954-9347
Phone
(608) 566-5682
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

N5542 Polaris Dr
Pardeeville, WI 53954-9347

Mailing address

N5542 Polaris Dr
Pardeeville, WI 53954-9347

Other providers in Pardeeville, WI

All providers in Pardeeville, WI · Athletic Trainer in Wisconsin

Sources for this page

Verify at the official NPI Registry.