Individual
ANTONIA EFUA BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7160
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 283-7160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9497
WI
363LF0000X
Family Nurse Practitioner
9497-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386299154
—
WI
Enumeration date
08/07/2019
Last updated
05/02/2022
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