Active NPIIndividual providerSole proprietor

Micah R Bardell, FNP-BC

Nurse Practitioner, Family in Bronxville, New York

NPI Number1679397657
Practice location
77 Pondfield RD, Bronxville, NY 10708-3809
Fax
—
Last updated
November 14, 2024

Micah Rehana Bardell is a Nurse Practitioner, Family based in Bronxville, NY. Micah Rehana Bardell practices in Bronxville, NY and has the professional credentials of FNP-BC. The NPI Number for Micah Rehana Bardell is 1679397657 and holds a License No. 355452 (NY). The current practice location address for Micah Rehana Bardell is 77 Pondfield RD, Bronxville, NY 10708-3809 and can be reached out via phone at 914-337-4986.

Provider Profile Details

NPI Number
1679397657
Provider Name
Micah Rehana Bardell
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
77 Pondfield RD, Bronxville, NY 10708-3809
Phone Number
914-337-4986
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2024
Last Update Date
November 14, 2024
Certification Date
November 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Pondfield RD
Bronxville, NY 10708-3809
Zip
10708-3809
Phone Number
914-337-4986
Bronxville, NY 10708Get directions →

Provider Business Mailing Address Details

Address
47 Bluff Ave
Greenwood Lake, NY 10925-4408
City
Greenwood Lake
State
NY
Zip
10925-4408
Phone Number
845-492-6280

License Information

License Number
355452
License State
NY
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Micah R Bardell, FNP-BC?

The NPI number of Micah R Bardell, FNP-BC is 1679397657. It was assigned on November 14, 2024 and is currently active in the NPPES registry.

What is the specialty of Micah R Bardell, FNP-BC?

Micah R Bardell, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 355452.

Where does Micah R Bardell, FNP-BC practice?

The practice location is 77 Pondfield RD, Bronxville, NY 10708-3809. The office can be reached at 914-337-4986 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679397657 directly on the NPPES registry website.

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