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Contact Information

NORMAN L BERTHIAUME, FNP-C
1200 ROBERTS AVE NE
COOPERSTOWN, ND58425-7101
 Phone: 701-797-2221
 Fax: 701-797-2457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NORMAN L BERTHIAUME · (Male)

NPI # 1770691651
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 08/29/2006
Last updated 10/07/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • ME License # R015780
  • ND License # R34592
  • ME Medicaid 128170099
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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