Individual
GINNA MARIE BERTHEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
(956) 718-6294
Mailing address
1515 PAPPAS ST, LAREDO, TX 78041-1705
(956) 795-8100
(956) 718-6294
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
753685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753685
BOARD OF NURSE EXAMINERS FOR THE STATE OF TEXAS
TX
Enumeration date
12/16/2008
Last updated
12/16/2008
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