MISS Stacy M Bertram, LPN
NPI #1154776102 in Mount Vernon, New York
Provider Information
- NPI Number
- 1154776102
- Entity Type
- Individual
- Name
- MISS Stacy M Bertram, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 27, 2016
- Last Updated
- Apr 27, 2016
Practice Location
- Address
- 300 GRAMATAN AVE
- Address 2
- APT G85
- City
- Mount Vernon
- State
- New York
- ZIP Code
- 10552-3245
- Phone
- (914) 437-1455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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