Provider Demographics
NPI:1215295654
Name:BERNADETTE FOURNIER RNFA, LLC
Entity type:Organization
Organization Name:BERNADETTE FOURNIER RNFA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNADETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOURNIER
Authorized Official - Suffix:
Authorized Official - Credentials:RNFA
Authorized Official - Phone:775-742-8393
Mailing Address - Street 1:4805 PINESPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6504
Mailing Address - Country:US
Mailing Address - Phone:775-742-8393
Mailing Address - Fax:775-826-3841
Practice Address - Street 1:4805 PINESPRINGS DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6504
Practice Address - Country:US
Practice Address - Phone:775-742-8393
Practice Address - Fax:775-826-3841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN11867163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty