BERTRUM MOBILE PRIMARY CARE PLLC NPI 1275477325

NPI Information

  • NPI: 1275477325
  • Provider Name: BERTRUM MOBILE PRIMARY CARE PLLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4946 E THUNDERBIRD DR
    CHANDLER, AZ
    ZIP 85249
  • Phone: (602) 781-3194

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NPI Details

BERTRUM MOBILE PRIMARY CARE PLLC is a family nurse practitioner in Chandler, AZ. BERTRUM MOBILE PRIMARY CARE PLLC NPI is 1275477325. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4946 E THUNDERBIRD DR
CHANDLER, AZ
ZIP 85249-142
Phone: (602) 781-3194

The provider's authorized official is Emilia Luisa Davis .
The authorized official title is Owner and has the following contact phone number (602) 781-3194.

The enumeration date for this NPI number is 4/17/2026 and was last updated on 4/17/2026.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

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