Ernande Bernadeau, RN

Individual provider Active NPI Registered Nurse · Randolph, MA

NPI 1144968686 · NPPES record last updated May 24, 2022

Key facts

NPI
1144968686
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN271208 (MA)
Practice address
19 Colson Way Ste 1
Randolph, MA 02368-2751
Phone
(617) 721-7891
NPI assigned
May 24, 2022
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN271208MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN271208 MA Yes

Addresses

Primary practice location

19 Colson Way Ste 1
Randolph, MA 02368-2751

Mailing address

19 Colson Way Ste 1
Randolph, MA 02368-2751
Phone (617) 721-7891

Other providers in Randolph, MA

All providers in Randolph, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.