Provider Demographics
NPI:1447624978
Name:BERNARD, MARGARET V (NP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:V
Last Name:BERNARD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:V
Other - Last Name:MAYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2545 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5153
Mailing Address - Country:US
Mailing Address - Phone:303-717-9750
Mailing Address - Fax:
Practice Address - Street 1:15 W DRY CREEK CIR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4427
Practice Address - Country:US
Practice Address - Phone:303-952-1100
Practice Address - Fax:720-287-3183
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-20
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9476652363LF0000X
COAPN.0992285-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07380259Medicaid
CO485688YNERMedicare PIN