Farah Bernard

Individual provider Active NPI Licensed Practical Nurse · Acton, MA

NPI 1992128748 · NPPES record last updated Jan 30, 2014

Key facts

NPI
1992128748
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LN62628 (MA)
Practice address
53 Brook St Apt 31
Acton, MA 01720-4771
Phone
(978) 263-7692
NPI assigned
Jan 30, 2014
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

State licenses

LicenseStateTypeSpecialty
LN62628MAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LN62628 MA Yes

Addresses

Primary practice location

53 Brook St Apt 31
Acton, MA 01720-4771

Mailing address

53 Brook St Apt 31
Acton, MA 01720-4771
Phone (978) 263-7692

Other providers in Acton, MA

All providers in Acton, MA · Licensed Practical Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.