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Individual
MS. DANIELLE MARIE BERTRAM
Active
Individual
MS. DANIELLE MARIE BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1631449
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0991635
CO
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
NUR-RN-LIC-67646
MT
Other
Enumeration date
01/25/2013
Last updated
12/05/2017
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