Angeline McCormick Bertsch, MSN-CRNP-ADULT
Individual provider Active NPI Adult Health Nurse Practitioner · Bolivia, NC
NPI 1972507259 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1972507259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 900467 (NC)
- Practice address
- 25 Courthouse Dr
Bolivia, NC 28422-7582 - Phone
- (910) 253-2248
- Fax
- (910) 253-2370
- NPI assigned
- Jun 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Brunswick | Past | Accepting new patients | |
| County of Brunswick | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 900467 | NC | Yes |
Addresses
Primary practice location
25 Courthouse Dr
Bolivia, NC 28422-7582
Mailing address
PO Box 9
Bolivia, NC 28422-0009
Phone (910) 253-2248
Other providers in Bolivia, NC
- Alexander Arbelo Ramos
- Anita Bakula
- Benchmark Physical Therapy of NC, LLC
- Matt Aaron Benenati
- Jessica Jane Bentley
- Kenya Bethea
- Pamela Ann Betz
- Hussain Khuzem Bhagat
- Chandana Bhimmanapalli
- Nicholas Proch Billings
All providers in Bolivia, NC · Adult Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.