Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAMUEL MARK BERTOCH, FNP-C
Active Sole ProprietorMR. SAMUEL MARK BERTOCH, FNP-C is a Nurse Practitioner healthcare provider located in ROOSEVELT, Utah. NPI 1417525544 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ROOSEVELT, UT
Registration Details
- NPI Number
- 1417525544
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2021 (5.1236143669893 yrs)
- Last Updated
- Jun 15, 2021
- License
-
327174-4405 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2750 NORTH 2762 WESTROOSEVELT, UT, 84066Browse UT providers · Browse ZIP 84066
- Phone
- 4357229250
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in ROOSEVELT, UT
| Name | Credential | NPI |
|---|---|---|
| LORI A TEEM | FNP | 1083675649 |
| BRADLEY F JENKINS | FNP | 1912968538 |
| CAROL F RASMUSSEN | NP | 1245397637 |
| ANGALA DEE BRYSON | — | 1831773449 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.