Provider Demographics
NPI:1407890908
Name:BERTSCHE, LINDA L (APRN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:BERTSCHE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:YODER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:740-775-7855
Practice Address - Street 1:2434 RICHMILLER LN UNIT F
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1075
Practice Address - Country:US
Practice Address - Phone:740-423-8095
Practice Address - Fax:740-423-8096
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70000002A364SP0808X
WVAPRN90442CNS364SP0808X
OHAPRN.CNS.019397364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP00112792OtherRAILROAD MEDICARE PIN
000000532693OtherANTHEM PIN
226830ZMedicare PIN
INP00112792OtherRAILROAD MEDICARE PIN