Ms Laurie Berthold, CPNP | |
2651 Highland Ave, Kaiser Permanente Dept Of Pediatrics, Selma, CA 93662-3392 | |
(559) 898-6140 | |
Not Available |
Full Name | Ms Laurie Berthold |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 2651 Highland Ave, Selma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831188051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 321100 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Ms Laurie Berthold, CPNP 2651 Highland Ave, Fresno, CA 93622 Ph: (559) 898-6140 | Ms Laurie Berthold, CPNP 2651 Highland Ave, Kaiser Permanente Dept Of Pediatrics, Selma, CA 93662-3392 Ph: (559) 898-6140 |
Arlene Shipman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3275 Mccall Ave, Selma, CA 93662 Phone: 559-896-3808 | |
Mrs. Cristal Grijalva, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-856-6310 | |
Ms. Jennifer Garcia Tarazon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2511 Logan St, Selma, CA 93662 Phone: 559-896-2624 Fax: 559-896-3235 | |
Rajandeep Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7680 E Rose Ave, Selma, CA 93662 Phone: 559-859-9333 | |
Ms. Savanna G Sanchez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Floral Ave, Selma, CA 93662 Phone: 559-318-9240 | |
Priscilla Carey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1041 Rose Ave, Selma, CA 93662 Phone: 559-856-6090 | |
Hli Lee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1141 Rose Ave, Selma, CA 93662 Phone: 559-577-3934 |