Individual
MS. BARBARA GAYLE BERTELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805
(863) 680-7000
(863) 680-7420
Mailing address
PO BOX 95004, LAKELAND, FL 33804-5004
(863) 680-7206
(863) 680-7420
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
ARNP1012822
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP1012822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309135000
—
FL
Enumeration date
04/15/2008
Last updated
05/22/2009
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