Individual provider · Type 1 NPI
Samuel Mark Bertoch, FNP-C
Nurse Practitioner · Roosevelt, UT
Practice location
2750 North 2762 West
Roosevelt, UT 84066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 327174-4405 (UT) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1417525544
Samuel Mark Bertoch, FNP-C's National Provider Identifier is 1417525544, issued on Jun 15, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Roosevelt, UT. The record was last updated on Jun 15, 2021.