Terese M Bertucci, APN
Nurse Practitioner in Maywood, IL. Individual provider (NPI-1).
NPI number1366510430
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1366510430
- Entity type
- Individual (NPI-1)
- Name
- Terese M Bertucci
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2006
- Certification date
- Apr 1, 2021
- Last updated
- Apr 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209-000449 | IL | Yes |
Practice location
2160 S 1st AveFahey Bldg., Room 137
Maywood, IL 60153-3328
Phone 708-216-0160 · Fax 708-216-5285
Mailing address
2160 S 1st AveFahey Bldg., Room 137
Maywood, IL 60153-3328
Phone 708-216-0160 · Fax 708-216-5285
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