BERNADETTE DERVISH RN NPI 1720995301

NPI Information

  • NPI: 1720995301
  • Provider Name: BERNADETTE DERVISH, RN
  • Classification: Registered Nurse - 163WS0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 143 W GREEN BAY ST
    PULASKI, WI
    ZIP 54162
  • Phone: (920) 822-6027

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NPI Details

Bernadette Dervish, RN is a school registered nurse in Pulaski, WI. Bernadette Dervish, RN NPI is 1720995301. 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:

143 W GREEN BAY ST
PULASKI, WI
ZIP 54162-350
Phone: (920) 822-6027
Fax: (920) 822-6017

The enumeration date for this NPI number is 8/27/2026 and was last updated on 8/27/2026.

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
1163WS0200XRegistered NurseSchool11060230WISCONSINYes

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: 11/21/2025

NPI Synchronization or Removal

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