Provider Demographics
NPI:1194103853
Name:BERNDT, CHRISTINE L (APNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:BERNDT
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:L
Other - Last Name:VANZEELAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 22487
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54305-2487
Mailing Address - Country:US
Mailing Address - Phone:920-445-7210
Mailing Address - Fax:920-445-7289
Practice Address - Street 1:307 MANOR DR
Practice Address - Street 2:
Practice Address - City:SURING
Practice Address - State:WI
Practice Address - Zip Code:54174-9182
Practice Address - Country:US
Practice Address - Phone:920-842-2144
Practice Address - Fax:920-842-4111
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI93457-30163W00000X
WI6461-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
F0715792OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
WIK400237163Medicare Oscar/Certification
WIK400237165Medicare Oscar/Certification