Provider Demographics
NPI:1578364626
Name:BERNARD, JULIANA (RN)
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:BERNARD
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 K ST # 1
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-4242
Mailing Address - Country:US
Mailing Address - Phone:774-278-0548
Mailing Address - Fax:
Practice Address - Street 1:377 K ST # 1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02127-4242
Practice Address - Country:US
Practice Address - Phone:774-278-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2339978163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse