Provider Demographics
NPI:1679996763
Name:CIARCIELLO, BERNADETTE C (CRNP)
Entity type:Individual
Prefix:
First Name:BERNADETTE
Middle Name:C
Last Name:CIARCIELLO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:333 N SUMMIT STREET
Mailing Address - Street 2:FLOOR 7
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604
Mailing Address - Country:US
Mailing Address - Phone:419-252-6018
Mailing Address - Fax:800-564-5952
Practice Address - Street 1:HEARTLAND CARE PARTNERS
Practice Address - Street 2:1480 OXFORD VALLEY ROAD
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-5630
Practice Address - Country:US
Practice Address - Phone:800-427-1902
Practice Address - Fax:419-531-2664
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2018-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PASP013556363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1851397731OtherGROUP NPI