MEDICARE: MS. ANGELINE MCCORMICK BERTSCH MSN-CRNP-ADULT

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
1	363LA2200X	Adult Health Nurse Practitioner	900467	NC

General Provider Information

NPI Number	:	1972507259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANGELINE MCCORMICK BERTSCH MSN-CRNP-ADULT

Provider Business Mailing Address
First Line	:	PO BOX 9
Second Line	:
City	:	BOLIVIA
State	:	NC
Zip	:	28422-0009
Country	:	US
Telephone Number	:	910-253-2248
Fax Number	:	910-253-2370

Provider Business Practice Location Address
First Line	:	25 COURTHOUSE DR
Second Line	:
City	:	BOLIVIA
State	:	NC
Zip	:	28422-7582
Country	:	US
Telephone Number	:	910-253-2248
Fax Number	:	910-253-2370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336144518 — MRS. VICTORIA EDWARDS SMITH OBNP
Practice Location Address:

25 COURTHOUSE DR. NE , BOX 9
BOLIVIA, NC
28422-7582

Practice Phone: 910-253-2250
Practice Fax: 910-253-2370

1487644191 — DR. ALEXANDER ARBELO RAMOS DMD
Practice Location Address:

2831 MIDWAY RD SE STE 116
BOLIVIA, NC
28422-8377

Practice Phone: 910-408-4436
Practice Fax:

1922963487 — NOVANT HEALTH MEDICAL GROUP, LLC
Practice Location Address:

240 HOSPITAL DR NE
BOLIVIA, NC
28422-8346

Practice Phone: 111-111-1111
Practice Fax:

1891790622 — MILLER J VAN VLIET DO
Practice Location Address:

240 HOSPITAL DR NE
BOLIVIA, NC
28422-8346

Practice Phone: 704-749-5800
Practice Fax: 704-749-5819

1598762114 — KEITH CHRISTIAN RESCHLY M.D.
Practice Location Address:

240 HOSPITAL DR NE
BOLIVIA, NC
28422-8346

Practice Phone: 910-721-2070
Practice Fax: 107-212-0749

1194723882 — RICHARD S. CARLEY M.D.
Practice Location Address:

240 HOSPITAL DR NE
BOLIVIA, NC
28422-8346

Practice Phone: 843-497-5929
Practice Fax: 843-497-6601

Directions to “ MS. ANGELINE MCCORMICK BERTSCH MSN-CRNP-ADULT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.