Individual
MRS. DIANA BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
145 HOSPITAL AVE, STE 113, DU BOIS, PA 15801-1463
(814) 375-3722
(814) 375-3363
Mailing address
145 HOSPITAL AVE, STE 113, DU BOIS, PA 15801-1463
(814) 375-3722
(814) 375-3363
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP007004B
PA
Other
Enumeration date
06/24/2005
Last updated
05/13/2009
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