Leslie Bertram, RN
Individual provider Active NPI Registered Nurse · Glenpool, OK
NPI 1689398802 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1689398802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 225520 (OK)
- Practice address
- 13100 S Nyssa St
Glenpool, OK 74033-2326 - Phone
- (918) 724-3145
- NPI assigned
- Sep 30, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 225520 | OK | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
13100 S Nyssa St
Glenpool, OK 74033-2326
Mailing address
13100 S Nyssa St
Glenpool, OK 74033-2326
Phone (918) 565-0326
Other providers in Glenpool, OK
- Christian Andrus
- Dina Georgy Azadi
- Back2Health of Tulsa P.C.
- Bedside Manner LLC
- Rebecca Bell
- Ryan Rourke Biddick
- Bliss Family Medicine PLLC
- Theron Joseph Bliss
- Jennifer Block
- Bryan Edward Bonnet
All providers in Glenpool, OK · Registered Nurse in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2026. 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.