CRAIG BERTRAM
NPI 1124590716
Licensed Practical Nurse in Bothell, WA

Q: What is Craig Bertram's NPI number?

The NPI number for Craig Bertram is 1124590716. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Q: What is Craig Bertram's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Craig Bertram was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2018

22026 20TH AVE SE STE 101, BOTHELL, WA 98021(425) 527-0477 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Craig Bertram NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG BERTRAM (NPI 1124590716) is an individual licensed practical nurse in Bothell, Washington, licensed in Washington (LP00047759) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1124590716

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameCRAIG BERTRAM

Location Address22026 20TH AVE SE STE 101Bothell, WA 98021-4449

Mailing Address22026 20th Ave Se Ste 101Bothell, WA 98021-4449

Phone(425) 527-0477

Sole ProprietorNo

Enumeration DateDecember 20, 2018

✔ NPI 1124590716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WA · LP00047759

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

22026 20TH AVE SE STE 101, Bothell, WA 98021

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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