Individual provider · Type 1 NPI

Danielle Bertram, NP

Nurse Practitioner · Jefferson City, MO

NPI number 1750291266 Active

Practice location

3218 W Edgewood Dr Ste 500
Jefferson City, MO 65109-6952

Mailing address

4211 Langham Dr
Columbia, MO 65202-3342

Other practice locations

  • 111 Crossings W # 3, Lake Ozark, MO 65049-8749 · (573) 365-5002

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2026042202 (MO)

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 1750291266

Danielle Bertram, NP's National Provider Identifier is 1750291266, issued on Sep 8, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jefferson City, MO. The record was last updated on Sep 8, 2026.