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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BERNADETTE DERVISH RN
NPI 1720995301
Registered Nurse - School in Pulaski, WI

Active since August 27, 2026
143 W GREEN BAY ST, PULASKI, WI 54162(920) 822-6027(920) 822-6017 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bernadette Dervish Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERNADETTE DERVISH RN (NPI 1720995301) is an individual school provider in Pulaski, Wisconsin, licensed in Wisconsin (11060230) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1720995301
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameBERNADETTE DERVISHCredential: RN
Location Address143 W GREEN BAY STPulaski, WI 54162-9350
Mailing Address143 W Green Bay StPulaski, WI 54162-9350 · (920) 822-6027 · Fax (920) 822-6017
Phone(920) 822-6027
Fax(920) 822-6017
Sole ProprietorYes
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1720995301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License✔ Licensed in WI · 11060230
143 W GREEN BAY ST, Pulaski, WI 54162
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PULASKI COMMUNITY SCHOOL DISTRICT
Local Education Agency (LEA)
143 W GREEN BAY ST
PULASKI, WI 54162
Brown County (920) 822-6021
MS. RACHEL ANN DEMELLE
Speech-Language Pathologist
143 W GREEN BAY ST
PULASKI, WI 54162
Brown County (920) 822-6000
DIANA LOGAN
Counselor
143 W GREEN BAY ST
PULASKI, WI 54162
Brown County (920) 822-6000
AMBER MOLLE MS
Speech-Language Pathologist
143 W GREEN BAY ST
PULASKI, WI 54162
Brown County (920) 822-6000
HEIDI KOESHALL MS CCC-SLP
Speech-Language Pathologist
143 W GREEN BAY ST
PULASKI, WI 54162
Brown County (920) 622-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernadette Dervish's NPI number?

The NPI number for Bernadette Dervish is 1720995301. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Bernadette Dervish located?

Bernadette Dervish practices at 143 W Green Bay St, Pulaski, WI 54162. The listed phone number is (920) 822-6027.

What is Bernadette Dervish's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Bernadette Dervish was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.