| Doctor Name: | COLLEEN LESLIE BERTTUNEN |
| NPI Number: | 1144561457 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 191660-1 |
| Business Practice Address: | 15049 368th Street Menahga, MN - 56464 |
| Business Phone Number: | 2188496130 |
| Business Fax Number: | 2186314228 |
| Mailing Address: | 15049 368th Street, MENAHGA |
| State: | MN |
| Postal Code: | 56464 |
| Phone Number: | 2188496130 |
| Fax Number: | 2186314228 |
| NPI Enumeration Date: | 03/12/2013 |
| NPI Last Update Date: | 03/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 191660-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |