Provider Demographics
NPI:1902532039
Name:BERNADSKY, HANNAH RUTH (FNP-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RUTH
Last Name:BERNADSKY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-229 WAIPAHU DEPOT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3032
Mailing Address - Country:US
Mailing Address - Phone:808-206-9849
Mailing Address - Fax:808-206-9850
Practice Address - Street 1:94-229 WAIPAHU DEPOT ST STE 101
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3032
Practice Address - Country:US
Practice Address - Phone:808-206-9849
Practice Address - Fax:808-206-9850
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK181416363LF0000X
HIAPRN-3755363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI004578Medicaid