MISS STACY M BERTRAM LPN
NPI 1154776102
Licensed Practical Nurse in Mount Vernon, NY

Active since April 27, 2016
300 GRAMATAN AVE, APT G85, MOUNT VERNON, NY 10552(914) 437-1455 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Stacy M Bertram Lpn NPPES

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

MISS STACY M BERTRAM LPN (NPI 1154776102) is an individual licensed practical nurse in Mount Vernon, New York, licensed in New York (274466) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1154776102
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS STACY M BERTRAMCredential: LPN
Location Address300 GRAMATAN AVE, APT G85Mount Vernon, NY 10552-3245
Mailing Address300 Gramatan Ave, Apt G85Mount Vernon, NY 10552-3245 · (914) 437-1455
Sole ProprietorYes
Enumeration DateApril 27, 2016
NPI 1154776102 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 NY · 274466
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.
300 GRAMATAN AVE, Mount Vernon, NY 10552

Other Names 1

Former Name (1)Miss Stacy M Lynch

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Bertram's NPI number?

The NPI number for Stacy Bertram is 1154776102. It was assigned to this individual provider in the NPPES registry on April 27, 2016. The provider is also known as Miss Stacy M Lynch.

Where is Stacy Bertram located?

Stacy Bertram practices at 300 Gramatan Ave Apt G85, Mount Vernon, NY 10552. The listed phone number is (914) 437-1455.

What is Stacy Bertram's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacy Bertram was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.