Berthold, Laurie

Berthold, Laurie is an individual health care provider with primary practice located at 2651 Highland Ave Kaiser Permanente Dept Of Pediatrics, Selma CA 93662-3392. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Berthold, Laurie can be contacted via phone (559) 898-6140.

Contact Information

Primary practice address
2651 Highland Ave Kaiser Permanente Dept Of Pediatrics Selma CA 93662-3392
Phone: (559) 898-6140
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 321100 California

Profile Details

NPI number 1831188051
LBN Legal business name Berthold, Laurie
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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