National Provider Identifier
Tina Marie Bernard, LPN
Tina Marie Bernard, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 332-8616.
Profile Overview
- NPI
- 1750953998
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 16, 2021
- Last Updated
- July 16, 2021
Practice Location
- 101 Cobblestone Terrace
- Newark, NY 14513
Phone: (315) 332-8616
Mailing Address
- 6009 Boyd Road Lot 36
- P.O. Box 280
- Sodus, NY 14551
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1750953998
- Entity Type
- Individual
- Last Name
- Bernard
- First Name
- Tina
- Middle Name
- Marie
- Credential
- LPN
- Provider Other Last Name
- Henry
- Provider Other First Name
- Tina
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 6009 Boyd Road Lot 36
- Mailing Address Line 2
- P.O. Box 280
- Mailing City
- Sodus
- Mailing State
- NY
- Mailing ZIP Code
- 14551
- Mailing Country
- US
- Mailing Phone
- (315) 359-1976
- Practice Street Address
- 101 Cobblestone Terrace
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513
- Practice Country
- US
- Practice Phone
- (315) 332-8616
- Enumeration Date
- July 16, 2021
- Last Updated
- July 16, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- July 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)