Miss Stacy M Bertram, LPN
Licensed Practical Nurse in Mount Vernon, New York
1154776102- Practice location
- 300 Gramatan Ave, Apt G85, Mount Vernon, NY 10552-3245
- Phone
- 914-437-1455
- Fax
- —
- Last updated
- April 27, 2016
Stacy M Bertram is a Licensed Practical Nurse based in Mount Vernon, NY. Stacy M Bertram practices in Mount Vernon, NY and has the professional credentials of LPN. The NPI Number for Stacy M Bertram is 1154776102 and holds a License No. 274466 (NY). The current practice location address for Stacy M Bertram is 300 Gramatan Ave, Apt G85, Mount Vernon, NY 10552-3245 and can be reached out via phone at 914-437-1455.
Provider Profile Details
- NPI Number
- 1154776102
- Provider Name
- Stacy M Bertram
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 300 Gramatan Ave, Apt G85, Mount Vernon, NY 10552-3245
- Phone Number
- 914-437-1455
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Other Names
- Miss Stacy M Lynch (Former Name)
- Provider Enumeration Date
- April 27, 2016
- Last Update Date
- April 27, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 300 Gramatan Ave
Apt G85
Mount Vernon, NY 10552-3245 - City
- Mount Vernon
- State
- New York
- Zip
- 10552-3245
- Phone Number
- 914-437-1455
Provider Business Mailing Address Details
- Address
- 300 Gramatan Ave
Apt G85
Mount Vernon, NY 10552-3245 - City
- Mount Vernon
- State
- NY
- Zip
- 10552-3245
- Phone Number
- 914-437-1455
License Information
- License Number
- 274466
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Stacy M Bertram, LPN?
The NPI number of Miss Stacy M Bertram, LPN is 1154776102. It was assigned on April 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Miss Stacy M Bertram, LPN?
Miss Stacy M Bertram, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 274466.
Where does Miss Stacy M Bertram, LPN practice?
The practice location is 300 Gramatan Ave, Apt G85, Mount Vernon, NY 10552-3245. The office can be reached at 914-437-1455 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154776102 directly on the NPPES registry website.