Patricia Sue Berry, LPN

Individual provider Active NPI Licensed Practical Nurse · Middlebury, IN

NPI 1043460652 · NPPES record last updated Sep 19, 2008

Key facts

NPI
1043460652
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
27046717A (IN)
Practice address
303 Twin Oaks Dr.
Middlebury, IN 46540
Phone
(574) 202-5462
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
27046717AINMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 27046717A IN Yes

Addresses

Primary practice location

303 Twin Oaks Dr.
Middlebury, IN 46540

Mailing address

P.O. Box 152
Middlebury, IN 46540
Phone (574) 202-5462

Other providers in Middlebury, IN

All providers in Middlebury, IN · Licensed Practical Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.