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Individual

MELISSA BERTIAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
125 S 9TH ST, STE. 501, PHILADELPHIA, PA 19107-5125
(215) 543-7002
Mailing address
125 S 9TH ST, STE. 501, PHILADELPHIA, PA 19107-5125

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP013330
PA
363LG0600X
Gerontology Nurse Practitioner
SP013330
PA

Other

Enumeration date
11/10/2013
Last updated
11/10/2013
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