ANDREA L. A. BERTRAM NP NPI 1376949420

NPI Information

  • NPI: 1376949420
  • Provider Name: ANDREA L. A. BERTRAM, NP
  • Classification: Nurse Practitioner - 363LN0005X
  • Specialization: Neonatal, Critical Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22 BRAMHALL ST
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 662-0111

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NPI Details

Andrea L. A. Bertram, NP is a neonatal and critical care nurse practitioner in Portland, ME. Andrea L. A. Bertram, NP NPI is 1376949420. 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:

22 BRAMHALL ST
PORTLAND, ME
ZIP 04102-134
Phone: (207) 662-0111

The NPI 1376949420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 1/14/2025.

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
1363LN0000XNurse PractitionerNeonatal28219376INDIANANo
2363LN0000XNurse PractitionerNeonatal084794-23NEW HAMPSHIRENo
3363LN0005XNurse PractitionerNeonatal, Critical CareRN75659MAINENo
4363LN0005XNurse PractitionerNeonatal, Critical CareCNP191305MAINEYes

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
11376949420MEDICAIDINDIANA
23127635MEDICAIDNEW HAMPSHIRE

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: 3/30/2025

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