Individual
ANDREA L. A. BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2273
(207) 662-6324
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
084794-23
NH
363LN0000X
Neonatal Nurse Practitioner
28219376
IN
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
CNP191305
ME
363LN0005X
Critical Care Neonatal Nurse Practitioner
RN75659
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376949420
—
IN
05
—
3127635
—
NH
Enumeration date
11/17/2014
Last updated
01/14/2025
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