Berardy, Sandra

Berardy, Sandra is an individual health care provider with primary practice located at 75 Route 2 Mashantucket Pequot Indian Health Services, Ledyard CT 06339. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health. Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health is her primary health care specialty. Berardy, Sandra can be contacted via phone (860) 312-8000.

Contact Information

Primary practice address
75 Route 2 Mashantucket Pequot Indian Health Services Ledyard CT 06339
Phone: (860) 312-8000
Fax: (860) 312-8036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 001034 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Community Health/Public Health 364SC1501X 001034 Connecticut

Profile Details

NPI number 1003965450
LBN Legal business name Berardy, Sandra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Oct 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003965450 NPPES
Connecticut Other 001034 APRN

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