MRS. AMANDA MARIE BERTRAM DNP NPI 1902654551

NPI Information

  • NPI: 1902654551
  • Provider Name: MRS. AMANDA MARIE BERTRAM, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11142 S SCOTTSDALE DR
    YUMA, AZ
    ZIP 85367
  • Phone: (928) 336-1815

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NPI Details

MRS. Amanda Marie Bertram, DNP is a family nurse practitioner in Yuma, AZ with 2 years of experience. MRS. Amanda Marie Bertram, DNP NPI is 1902654551. 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:

11142 S SCOTTSDALE DR
YUMA, AZ
ZIP 85367-616
Phone: (928) 336-1815
Fax: (928) 342-3850

The NPI 1902654551 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 5/8/2024 and was last updated on 6/3/2025.

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
1363LF0000XNurse PractitionerFamily67026IDAHONo
2363LF0000XNurse PractitionerFamilyC-APN.0102462-C-NPCOLORADONo
3363LF0000XNurse PractitionerFamily324556ARIZONAYes

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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