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General NPI Number Information
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NPI Number | 1578269924
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Entity Type | Individual
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Provider Name | BRITTANY LYNN BERTRAM APRN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 4508 38TH ST STE 165
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City | COLUMBUS
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State | NE
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Zip | 68601-1668
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Country | US
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Telephone | 402-562-4765
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | ALBION
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State | NE
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Zip | 68620-0151
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Country | US
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Telephone | 402-395-5013
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Fax | 402-395-2327
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 114620
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License Number State | NE
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