Bernards, Penny Marie

Bernards, Penny Marie is an individual health care provider with primary practice located at West Pavillon 2Nd Floor 130 2Nd Street The Neuroscience Group Of Ne Wi, Neenah WI 54956-2883. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bernards, Penny Marie can be contacted via phone (920) 725-9373.

Contact Information

Primary practice address
West Pavillon 2Nd Floor 130 2Nd Street The Neuroscience Group Of Ne Wi Neenah WI 54956-2883
Phone: (920) 725-9373
Fax: (920) 720-7392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 89144 Wisconsin

Profile Details

NPI number 1760425573
LBN Legal business name Bernards, Penny Marie
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1760425573 NPPES
Wisconsin MEDICAID 41921000

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