Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BERTRAM PRIDE
Active Sole ProprietorBERTRAM PRIDE is a Licensed Practical Nurse healthcare provider located in PARK CITY, Utah. NPI 1518593110 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · PARK CITY, UT
Registration Details
- NPI Number
- 1518593110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2020 (6.436909685158 yrs)
- Last Updated
- Mar 16, 2020
- License
-
4703111838 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1640 REDSTONE CENTER DRPARK CITY, UT, 840987605Browse UT providers · Browse ZIP 84098
- Phone
- 2142649711
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.