Bertram, Andrea L. A.

Bertram, Andrea L. A. is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care is her primary health care specialty. Bertram, Andrea L. A. can be contacted via phone (207) 662-0111.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-0111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 28219376 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 084794-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X RN75659 Maine
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X CNP191305 Maine

Profile Details

NPI number 1376949420
LBN Legal business name Bertram, Andrea L. A.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Aug 9th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376949420 NPPES
Indiana MEDICAID 1376949420
Indiana MEDICAID 3127635

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