Active NPIIndividual provider

Peter A Bertelli, MSN, APRN, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Lake Wylie, South Carolina

NPI Number1235766338
Practice location
244 Latitude Ln Ste 104, Lake Wylie, SC 29710-8125
Fax
803-615-4662
Last updated
February 19, 2025

Peter A. Bertelli is a Nurse Practitioner, Psych/Mental Health based in Lake Wylie, SC. Peter A. Bertelli practices in Lake Wylie, SC and has the professional credentials of MSN, APRN, PMHNP-BC. The NPI Number for Peter A. Bertelli is 1235766338 and holds a License No. AP61656954 (WA). The current practice location address for Peter A. Bertelli is 244 Latitude Ln Ste 104, Lake Wylie, SC 29710-8125 and can be reached out via phone at 803-809-3184 and via fax at 803-615-4662.

Provider Profile Details

NPI Number
1235766338
Provider Name
Peter A. Bertelli
Credential
MSN, APRN, PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
244 Latitude Ln Ste 104, Lake Wylie, SC 29710-8125
Phone Number
803-809-3184
Fax Number
803-615-4662
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
March 26, 2020
Last Update Date
February 19, 2025
Certification Date
February 19, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
244 Latitude Ln Ste 104
Lake Wylie, SC 29710-8125
Zip
29710-8125
Phone Number
803-809-3184
Fax Number
803-615-4662
Lake Wylie, SC 29710Get directions →

Provider Business Mailing Address Details

Address
Po Box 1081
Clover, SC 29710-4081
City
Clover
State
SC
Zip
29710-4081
Phone Number
803-809-3184
Fax Number
803-615-4662

License Information

License Number (1)
AP61656954
License State (1)
WA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
RN2317837
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
28167
License State (3)
SC
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (4)
5019724
License State (4)
NC
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X

Legacy Identifiers

IdentifierTypeStateIssuer
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 Peter A Bertelli, MSN, APRN, PMHNP-BC?

The NPI number of Peter A Bertelli, MSN, APRN, PMHNP-BC is 1235766338. It was assigned on March 26, 2020 and is currently active in the NPPES registry.

What is the specialty of Peter A Bertelli, MSN, APRN, PMHNP-BC?

Peter A Bertelli, MSN, APRN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in WA under license number AP61656954.

Where does Peter A Bertelli, MSN, APRN, PMHNP-BC practice?

The practice location is 244 Latitude Ln Ste 104, Lake Wylie, SC 29710-8125. The office can be reached at 803-809-3184 (phone) or 803-615-4662 (fax).

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 1235766338 directly on the NPPES registry website.

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