Most Relevant Information
Provider Data
| NPI Number: | 1003284027 |
| Provider Name: | SHELLY BERTRAM R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 163WS0200X |
| Specialty: | Registered Nurse |
| License Number: | RN097015 |
Most Important Dates
| Enumeration Date: | 09/08/2015 |
| Last Updated: | 09/08/2015 |
Provider Practice Location
9261 W VAN BUREN ST
TOLLESON
AZ
853532941
Practice Location Phone/Fax
| Phone: | 6239369740 |
| Fax: |
Provider Mailing Location
9261 W VAN BUREN ST
TOLLESON
AZ
853532941
Provider Mailing Phone/Fax
| Phone: | 6239369740 |
| Fax: |