Healthcare Provider Details

I. General information

NPI: 1578269924
Provider Name (Legal Business Name): BRITTANY LYNN BERTRAM APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY LYNN CORNWELL APRN

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4508 38TH ST STE 165
COLUMBUS NE
68601-1668
US

IV. Provider business mailing address

PO BOX 151
ALBION NE
68620-0151
US

V. Phone/Fax

Practice location:
  • Phone: 402-562-4765
  • Fax:
Mailing address:
  • Phone: 402-395-5013
  • Fax: 402-395-2327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number114620
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: