Individual
JOAN Y BERTILRUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14818 COUNTY ROAD 4, GREENBUSH, MN 56726-9380
(701) 730-0482
(218) 782-4191
Mailing address
14818 COUNTY ROAD 4, GREENBUSH, MN 56726-9380
(701) 730-0482
(218) 782-4191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 072313-8
MN
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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