Individual
MS. LAURIE BERTHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2651 HIGHLAND AVE, KAISER PERMANENTE DEPT OF PEDIATRICS, SELMA, CA 93662-3392
(559) 898-6140
Mailing address
2651 HIGHLAND AVE, FRESNO, CA 93622
(559) 898-6140
(559) 898-6236
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
321100
CA
Other
Enumeration date
10/20/2005
Last updated
01/12/2022
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