Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NOAH DANIEL BERTOLONE, FNP-C
Deactivated Sole ProprietorNOAH DANIEL BERTOLONE, FNP-C is a Primary Care Nurse Practitioner healthcare provider located in MONTAGUE, Michigan. NPI 1689484560 is deactivated in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · MONTAGUE, MI
This NPI has been deactivated.
The record was deactivated on June 11, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689484560
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2025 (0.40821917808219 yrs)
- Last Updated
- Jan 8, 2026
- Deactivated
- Jun 11, 2025
- License
-
4704355354 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9883 US 31MONTAGUE, MI, 494379501Browse MI providers · Browse ZIP 49437
- Phone
- 2318936363
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
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.