Individual
VANESSA BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 ALBANY ST, LOWER LEVEL, SHAPIRO BUILDING, BOSTON, MA 02118-2526
(617) 638-6287
(617) 638-6284
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9455
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110200400A
—
MA
05
—
3142832
—
NH
Enumeration date
05/17/2023
Last updated
01/08/2026
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