Individual
MADISON ALEXIS BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 AQUA WAY APT 209, NEWPORT, KY 41071-2296
(888) 279-0002
Mailing address
100 AQUA WAY APT 209, NEWPORT, KY 41071-2296
(859) 446-8290
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0032171
OH
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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