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Contact Information

KELLYN O BERTOLAZZI, MSN, RN
2246 BUSTARD RD
LANSDALE, PA19446-5717
 Phone: 610-308-1349
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Administrator

163WA2000X
Indicates primary specialty

NPI Profile & details for KELLYN O BERTOLAZZI · (Female)

NPI Number 1811718901
Status Active
Credentials MSN, RN
Entity Individual
Enumeration date 10/21/2024
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • PA License # RN283246L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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