Individual
INGE C BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
827 VISTA AVE, PAGE, AZ 86040-7501
(928) 645-9675
Mailing address
827 VISTA AVE, PAGE, AZ 86040-7501
(928) 645-9675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
277709
AZ
Other
Enumeration date
09/17/2007
Last updated
09/09/2022
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