Individual
BARRY LEE BERTOLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201451
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201451
NC
363LP2300X
Primary Care Nurse Practitioner
201451
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6605025
—
NC
05
—
89014FP
—
NC
Enumeration date
08/22/2005
Last updated
06/26/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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