Individual
MRS. KARLENE HERTLE BERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1878 E HATCH RD, MODESTO, CA 95351-5002
(209) 602-8415
(209) 491-7184
Mailing address
PO BOX 576649, MODESTO, CA 95357-6649
(209) 571-8330
(209) 491-7184
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
295673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
295673 NPF 4111
LICENSE
—
05
—
5419135
—
CA
Enumeration date
07/24/2007
Last updated
03/07/2023
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