MRS. WENDY L BERTRAM APRN FNP-BC NPI 1245341692

NPI Information

NPI: 1245341692
Provider Name: MRS. WENDY L BERTRAM, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2620 N. RUSSELL LONG BLVD
CANYON, TX
ZIP 79016
Phone: (806) 651-3287
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MRS. Wendy L Bertram, APRN, FNP-BC is a family nurse practitioner in Canyon, TX. MRS. Wendy L Bertram, APRN, FNP-BC NPI is 1245341692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2620 N. RUSSELL LONG BLVD
CANYON, TX
ZIP 79016-001
Phone: (806) 651-3287
Fax: (806) 651-3289

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	241305	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245341692	OTHER	TEXAS	TX APN # 118004 AND TX NURSING LICENSE 241305

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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