Shelly Bertram, R.N.
Individual provider Active NPI School Registered Nurse · Tolleson, AZ
NPI 1003284027 · NPPES record last updated Sep 8, 2015
Key facts
- NPI
- 1003284027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- RN097015 (AZ)
- Practice address
- 9261 W Van Buren St
Tolleson, AZ 85353-2941 - Phone
- (623) 936-9740
- NPI assigned
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN097015 | AZ | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | RN097015 | AZ | Yes |
Addresses
Primary practice location
9261 W Van Buren St
Tolleson, AZ 85353-2941
Mailing address
9261 W Van Buren St
Tolleson, AZ 85353-2941
Phone (623) 936-9740
Other providers in Tolleson, AZ
- Joanne Benjamin Bauman
- Tewodros Bekele
- Bertha A Beltran
- Olivia Benyamin
- Joyce Marie Berens
- Best Care Behavioral Homes LLC
- Best Hills Behavioral Health
- Anna Bice
- Big Hearts LLC
- Amanda Jean Bigar
All providers in Tolleson, AZ · School Registered Nurse in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.