Bertram, Wendy L
Bertram, Wendy L is an individual health care provider with primary practice located at 2620 N. Russell Long Blvd , Canyon TX 79016-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bertram, Wendy L can be contacted via phone (806) 651-3287.Contact Information
Primary practice address
2620 N. Russell Long Blvd
Canyon TX 79016-0001
Phone: (806) 651-3287
Fax: (806) 651-3289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 241305 | Texas |
Profile Details
| NPI number | 1245341692 |
|---|---|
| LBN Legal business name | Bertram, Wendy L |
| Credentials | APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 2nd, 2017 - about 9 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 | 1245341692 | NPPES |
| Texas | Other | 1245341692 | TX APN # 118004 AND TX NURSING LICENSE 241305 |
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