Individual
MACKENZIE ELIZABETH BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3333 BURNET AVE, ML 7015, CINCINNATI, OH 45229
(513) 636-4266
(513) 636-3549
Mailing address
130 STEELMAN AVE, HIGHLAND HEIGHTS, KY 41076-1114
(859) 240-9322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0033406
OH
Other
Enumeration date
09/01/2023
Last updated
10/17/2023
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