Individual
ASHLEY NICOLE BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
123 HOSPITAL AVENUE, DU BOIS, PA 15801-1409
(814) 371-1510
(814) 371-2922
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057218
PA
Other
Enumeration date
09/26/2014
Last updated
12/13/2022
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