Provider Demographics
NPI:1942197603
Name:BEWERNICK, SYDNEY (APRN)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:BEWERNICK
Suffix:
Gender:X
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045-8263
Mailing Address - Country:US
Mailing Address - Phone:480-329-8819
Mailing Address - Fax:
Practice Address - Street 1:1301 4TH AVE NW UNIT 303
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-9371
Practice Address - Country:US
Practice Address - Phone:425-454-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-23
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61051351163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse