NPI 1790079986 · live from the CMS NPI Registry
Kerri Ahern Bernard, CPNP
Nurse Practitioner, Pediatrics in Dearborn, MI. National Provider Identifier 1790079986, active.
NPI record
| NPI | 1790079986 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2845 Monroe St, Dearborn, MI 48124 |
| Practice phone | 313-730-0070 |
| Enumerated | June 5, 2011 |
| Last updated | June 5, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704228785 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.