MRS. Bernadette Lois Van Wie, R.N.

NPI #1235387655 in Johnstown, New York

Provider Information

NPI Number: 1235387655
Entity Type: Individual
Name: MRS. Bernadette Lois Van Wie, R.N.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse - Psychiatric/Mental Health, Adult
Credential: R.N.
Enumeration Date: Aug 28, 2008
Last Updated: Aug 28, 2008

Practice Location

Address: 465 N PERRY ST
Address 2: CONTINUING DAY TREATMENT (CDTP)
City: Johnstown
State: New York
ZIP Code: 12095-1014
Phone: (518) 736-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult	163WP0809X	Primary

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