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NPI Code Detail

MEDICARE: PAUL E BERTRAND RN

MEDICARE:   PAUL E BERTRAND  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist10016005OR
2367500000XCertified Registered Nurse Anesthetist9853VI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801839410
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL E BERTRAND RN
Provider Business Mailing Address
First Line : 801 S OLIVE AVE
Second Line : #218
City : WEST PALM BEACH
State : FL
Zip : 33401-6120
Country : US
Telephone Number : 305-742-6099
Fax Number :
Provider Business Practice Location Address
First Line : 801 S OLIVE AVE
Second Line : #218
City : WEST PALM BEACH
State : FL
Zip : 33401-6120
Country : US
Telephone Number : 305-742-6099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/19/2023

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Directions to “ PAUL E BERTRAND RN” Practice Location

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