Provider Demographics
NPI:1427243138
Name:BERNBACH, DANA LEE (CPNP, CNNP)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:LEE
Last Name:BERNBACH
Suffix:
Gender:F
Credentials:CPNP, CNNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEW BEDFORD COMMUNITY HEALTH
Mailing Address - Street 2:874 PURCHASE STREET
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6232
Mailing Address - Country:US
Mailing Address - Phone:508-992-6553
Mailing Address - Fax:508-997-2498
Practice Address - Street 1:NEW BEDFORD COMMUNITY HEALTH
Practice Address - Street 2:874 PURCHASE STREET
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-992-6553
Practice Address - Fax:508-997-2498
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY453840363LN0005X
NY381794363LP0200X
MARN2381947363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care