Individual provider · NPI-1

Toni Ann Bereskie, APRN,BC,MSN,MBA,CS

Registered Nurse, Home Health · Daytona Beach, FL

NPI number1376600437

StatusActive

Last updated in NPPESJun 18, 2015

Details

NPI: 1376600437
Entity type: Individual (NPI-1)
Name: Mrs. Toni Ann Bereskie
Credential: APRN,BC,MSN,MBA,CS
Sex: Female
Sole proprietor: Yes
Enumeration date: Jan 1, 2007
Last updated: Jun 18, 2015

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
163WH0200X	Registered Nurse, Home Health	RN249960L	PA	Yes
363LP0808X	Nurse Practitioner, Psych/Mental Health	ARNP 3276542	FL
163W00000X	Registered Nurse	RN249960L	PA
364SP0808X	Clinical Nurse Specialist, Psych/Mental Health	ANCC 0270519-01	PA
163WC1600X	Registered Nurse, Continuing Education/Staff Development	ANCC 0270519-01	PA
163WG0000X	Registered Nurse, General Practice	RN249960L	PA
163WC0400X	Registered Nurse, Case Management	ANCC 0270519-01	PA
364SP0808X	Clinical Nurse Specialist, Psych/Mental Health	RN193789 CNS/PMH	GA
163WH1000X	Registered Nurse, Hospice	RN249960L	PA
163WP0807X	Registered Nurse, Psych/Mental Health, Child & Adolescent	RN249960L	PA
163WA0400X	Registered Nurse, Addiction (Substance Use Disorder)	RN249960L	PA
101YM0800X	Counselor, Mental Health	ANCC 0270519-01	PA
171000000X	Military Health Care Provider	ANCC 0270519-01	–
171W00000X	Contractor	ANCC 0270519-01	–
374T00000X	Religious Nonmedical Nursing Personnel	ANCC 0270519-01	–

Practice location

1220 Willis Ave
Box 67
Daytona Beach, FL 32114-2810

Phone 570-875-7858 · Fax 570-875-2250

Mailing address

268 Germanville Rd
Ashland, PA 17921-9050

Phone 570-875-7858 · Fax 570-875-2250

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