Susan F Bernal, ARNP
Individual provider Active NPI Family Nurse Practitioner · Mulberry, FL
NPI 1790795565 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790795565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Practice address
- 1310 N Church Ave
Mulberry, FL 33860-2047 - Phone
- (863) 425-9309
- Fax
- (863) 425-8401
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016828622 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past |
Accepting new patients | |
| Florida Department of Health | Past | Accepting new patients | |
| Salazar Family Health Care, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | FL | Yes |
Addresses
Primary practice location
1310 N Church Ave
Mulberry, FL 33860-2047
Mailing address
PO Box 1312
Mulberry, FL 33860-1312
Phone (863) 425-9309
Other providers in Mulberry, FL
- Sapnalaxmi Amin
- Angelic Care Services LLC.
- Juana Gabriela Bauzan
- Patricia C Bayshore
- Behavioral Approaches
- Brightside Living Support Care Services LLC
- Norma Burke
- Edna Carrasco
- Central Florida Health Care
- Central Florida Health Care, Inc
All providers in Mulberry, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.