Provider Demographics
NPI:1275882292
Name:SHERMAN, BERNADETTE M (CRNP)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:M
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BERNADETTE
Other - Middle Name:
Other - Last Name:INOUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1000 SPINOSA LN
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1094
Mailing Address - Country:US
Mailing Address - Phone:724-610-8766
Mailing Address - Fax:
Practice Address - Street 1:232 CAPITOL ST STE 18
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-2234
Practice Address - Country:US
Practice Address - Phone:724-610-8766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP21975164W00000X
PASP013135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse