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Bertram Pride
Licensed Practical Nurse in Park City, Utah
NPI 1518593110

Bertram Pride is a Licensed Practical Nurse based in Taylor, UT. Bertram Pride practices in Park City, UT. The NPI Number for Bertram Pride is 1518593110 and holds a License No. 4703111838 (Utah).

The current practice location address for Bertram Pride is 1640 Redstone Center Dr, Park City, UT and can be reached out via phone at 214-264-9711.

Location: 1640 Redstone Center Dr, Park City, UT, 48180-2741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518593110
Provider Name
Bertram Pride
Credential
Provider Entity Type
Individual
Gender
Male
Address
1640 Redstone Center Dr, Park City, UT, 48180-2741
Phone Number
214-264-9711
Fax Number
Provider Enumeration Date
03/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1640 Redstone Center Dr
City
Park City
State
Utah
Zip
84098-7605
Phone Number
214-264-9711
Fax Number
person
Provider Business Mailing Address Details
Address
1640 Redstone Center Dr
City
Park City
State
Utah
Zip
84098-7605
Phone Number
214-264-9711
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703111838 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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