Angele D Bernier, RN

Individual provider Active NPI Registered Nurse · Saint Charles, MO

NPI 1467728352 · NPPES record last updated Mar 26, 2012

Key facts

NPI
1467728352
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
2002029419 (MO)
Practice address
2 Westbury Dr
Saint Charles, MO 63301-2558
Phone
(636) 946-3676
Fax
(636) 946-6479
NPI assigned
Mar 26, 2012
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2002029419MOMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2002029419 MO Yes

Addresses

Primary practice location

2 Westbury Dr
Saint Charles, MO 63301-2558

Mailing address

900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962

Other providers in Saint Charles, MO

All providers in Saint Charles, MO · Registered Nurse in Missouri

Sources for this page

Verify at the official NPI Registry.