Provider Demographics
NPI:1962418624
Name:COLAS, BERNADETTE (FNP)
Entity type:Individual
Prefix:MISS
First Name:BERNADETTE
Middle Name:
Last Name:COLAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:BERNADETTE
Other - Middle Name:COLAS
Other - Last Name:LABORDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10317 AVENUE M
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4509
Mailing Address - Country:US
Mailing Address - Phone:718-531-2799
Mailing Address - Fax:
Practice Address - Street 1:10317 AVENUE M
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4509
Practice Address - Country:US
Practice Address - Phone:718-531-2799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF334580-1146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant