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Contact Information

KIMBERLY J BERTUCCI, DNP
1802 YAKIMA AVE STE 302
TACOMA, WA98405-5305
 Phone: 253-627-1244
 Fax: 253-627-6576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KIMBERLY J BERTUCCI · (Female)

NPI Number 1417466871
Status Active
Credentials DNP
Entity Individual
Enumeration date 09/28/2017
Last updated 09/27/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # AP09547
  • WA License # AP61550203
  • LA Medicaid 2458370
  • WA Medicaid 2289912
Hospital affiliation(s)
  • TOURO INFIRMARY - (Acute Care)
    1401 FOUCHER STREET
    NEW ORLEANS, LA 70115
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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