Wanda Bernhardt, LMT
Individual provider Active NPI Contractor · Beatty, NV
NPI 1255879151 · NPPES record last updated Feb 10, 2017
Key facts
- NPI
- 1255879151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- NVMT6898 (NV)
- Practice address
- 1650 W. Elliott St
Beatty, NV 89003-0669 - Phone
- (775) 553-2757
- NPI assigned
- Feb 10, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| NVMT6898 | NV | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NVMT6898 | NV | Yes |
Addresses
Primary practice location
1650 W. Elliott St
Beatty, NV 89003-0669
Mailing address
1650 Elliott St
Beatty, NV 89003
Phone (775) 553-2757
Other providers in Beatty, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.