MR. NORMAN LEO BERTHIAUME FNP-C NPI 1770691651

NPI Information

NPI: 1770691651
Provider Name: MR. NORMAN LEO BERTHIAUME, FNP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1200 ROBERTS AVE NE
COOPERSTOWN, ND
ZIP 58425
Phone: (701) 797-2221
Get Directions

MR. Norman Leo Berthiaume, FNP-C is a primary care nurse practitioner in Cooperstown, ND. MR. Norman Leo Berthiaume, FNP-C NPI is 1770691651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 ROBERTS AVE NE
COOPERSTOWN, ND
ZIP 58425-101
Phone: (701) 797-2221
Fax: (701) 797-2457

The NPI 1770691651 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 8/29/2006 and was last updated on 10/7/2009.

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	R015780	MAINE	No
2	363LP2300X	Nurse Practitioner	Primary Care	R34592	NORTH DAKOTA	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	128170099	MEDICAID	MAINE

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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