Provider Demographics
NPI:1538610225
Name:BERNSTEIN, ARIEL (CPM)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 MORNING ST
Mailing Address - Street 2:APT 3
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-4428
Mailing Address - Country:US
Mailing Address - Phone:310-403-9540
Mailing Address - Fax:
Practice Address - Street 1:80 MORNING ST
Practice Address - Street 2:APT 3
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4428
Practice Address - Country:US
Practice Address - Phone:310-403-9540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife