ANDREA L. A. BERTRAM


Address: 22 Bramhall St, Portland, ME 04102-3134
Phone: 2076620111

ANDREA L. A. BERTRAM (NPI# 1376949420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376949420
Entity Type Individual
Full Name ANDREA L. A. BERTRAM
Credential NP
Practice Address 22 Bramhall St
Portland
ME 04102-3134
Mailing Address 249 Sanford Rd
Wells
ME 04090-5543
Practice Telephone 2076620111
Mailing Telephone 5086306143
Enumeration Date 2014-11-17
Last Update Date 2020-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
28219376 IN Physician Assistants & Advanced Practice Nursing Providers
N 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
RN75659 ME Physician Assistants & Advanced Practice Nursing Providers
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
CNP191305 ME Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 1376949420 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
705 Riley Hospital Dr, Indianapolis, IN 462025109 3172744715 3172742065
489 State St, Bangor, ME 044016616 2079737000

Office Location

Street Address 22 BRAMHALL ST
City PORTLAND
State ME
Zip Code 04102-3134

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386641355 Suzanne Maynard Specialist 22 Bramhall St, Dept of Anesthesiology, Portland, ME 04102 2005-07-05
1902406135 Barbara Lewis-armstrong Social Worker 22 Bramhall St, Portland, ME 04102-3175 2020-10-27
1285231217 Malia Haddock Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-10-02
1972118222 Morgan O'brien Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-09-14
1295349900 Natalie Margaret Petrone Occupational Therapist 22 Bramhall St, Portland, ME 04102-3175 2020-09-01
1467065565 Mandi Ann Horwath Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-08-28
1922610492 Diana Christine Hubbell Registered Nurse 22 Bramhall St, Portland, ME 04102-3134 2020-08-17
1790393023 Rami Waked Student in an Organized Health Care Education/Training Program 22 Bramhall St, Portland, ME 04102-3134 2020-07-22
1871117143 Lesley Raley Pharmacist 22 Bramhall St, Portland, ME 04102-3134 2020-06-03
1023638707 Rebecca Naomi Glass Physical Therapist 22 Bramhall St, Portland, ME 04102-3134 2020-04-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467065565 Mandi Ann Horwath Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2020-08-28
1023675022 Megan Rochelle Tinling Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2019-05-24
1407277700 Ashley Yvette Forester Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2014-01-04
1568892941 Amy R. Snyder Nurse Practitioner 2801 N Gantenbein Ave, Portland, OR 97227-1623 2013-11-20
1104177989 Marissa Christine Macedo Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2012-09-20
1932470366 Deanna Dykema Nurse Practitioner 707 Sw Gaines St, Cdrcp, Portland, OR 97239-2901 2012-01-17
1821397563 Sherry Colleen Johnson Nurse Practitioner 9205 Sw Barnes Rd, Portland, OR 97225-6603 2011-03-21
1992935548 Ann M Nye Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Dncc, Portland, OR 97239-3011 2009-07-16
1245474931 Christopher Wayne Woods Nurse Practitioner 22 Bramhall St, Portland, ME 04102-3134 2009-04-24
1861602013 Laura L. Aurisy Nurse Practitioner 3181 Sw Sam Jackson Park Rd, Department of Pediatrics.neonatology, Portland, OR 97239-3011 2007-05-23
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 04102

Improve Information

Please comment or provide details below to improve the information on ANDREA L. A. BERTRAM.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches