Wendy L Bertram is a Family in Canyon, Texas. Wendy L Bertram practices all healthcare services and medical treatments related to Family. The NPI Number for Wendy L Bertram is 1245341692. The last update date is 2017-05-02.
Wendy L Bertram's current location address is 2620 N. Russell Long Blvd, Canyon, Texas. You can contact this provider via phone number 8066513287 and fax number 8066513289. The mailing address for Wendy L Bertram is 2620 N. Russell Long Blvd, Canyon, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy L Bertram |
|---|---|
| Address | 2620 N. Russell Long Blvd, Canyon, Texas |
| Phone Number | 8066513287 |
| Fax Number | 8066513289 |
| Sole Proprietor | N |
| Credentials | APRN, FNP- |
NPI Number Detail
| NPI Number | 1245341692 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2017-05-02 |
Provider Mailing Address Detail
| Address | 2620 N. Russell Long Blvd |
|---|---|
| City | Canyon |
| State | Texas (TX) |
| Post Code | 790160001 |
| Phone Number | 8066513287 |
| Fax Number | 8066513289 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 241305 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1245341692 | TX | TX APN # 118004 AND TX NURSING |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wendy L Bertram by the Centers for Medicare & Medicaid Services?
The Wendy L Bertram has been assigned the NPI (National Provider Identifier) 1245341692 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Wendy L Bertram is physically located?
The Wendy L Bertram is physically situated at the following address: 2620 N. Russell Long Blvd, Canyon, TX, 790160001.
What is the Wendy L Bertram's specialty and taxonomy code?
The Wendy L Bertram's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
When did the Wendy L Bertram receive its 1245341692?
The Wendy L Bertram was issued its 1245341692 on 2006-08-31, which is the date when the organization was assigned this unique identifier.
When was the information regarding Wendy L Bertram most recently updated?
The details pertaining to the Wendy L Bertram, including its address, specialty, and other relevant information, were last refreshed on 2017-05-02.