Bertram, Gloria R
Bertram, Gloria R is an individual health care provider with primary practice located at 1601 E Fourth Plain Blvd , Vancouver WA 98661-3753. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bertram, Gloria R can be contacted via phone (360) 397-8024.Contact Information
Primary practice address
1601 E Fourth Plain Blvd
Vancouver WA 98661-3753
Phone: (360) 397-8024
Fax: (360) 397-8010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP30000330RN00069157 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP30000330RN00069157 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30000330RN00069157 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30000330RN00069157 | Washington |
Profile Details
| NPI number | 1316957301 |
|---|---|
| LBN Legal business name | Bertram, Gloria R |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316957301 | NPPES |
| Washington | MEDICAID | 9604992 |
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