BERNADETTE MARIE MODELO RN NPI 1225254360

NPI Information

NPI: 1225254360
Provider Name: BERNADETTE MARIE MODELO, RN
Classification: Registered Nurse - 163WC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
1296 AGVIK ST.
SAMMUEL SIMMONDS MEMORIAL HOSPITAL
BARROW, AK
ZIP 99723
Phone: (907) 852-9219
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Bernadette Marie Modelo, RN is a critical care medicine registered nurse in Barrow, AK. Bernadette Marie Modelo, RN NPI is 1225254360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1296 AGVIK ST.
SAMMUEL SIMMONDS MEMORIAL HOSPITAL
BARROW, AK
ZIP 99723-029
Phone: (907) 852-9219

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	19425	ALASKA	Yes
2	163WX0003X	Registered Nurse	Obstetric, Inpatient	19425	ALASKA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	163W	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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