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Individual
NICOLE DAWN BARTLETT
Active
Individual
NICOLE DAWN BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC, PNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
NP1111A
ID
363LA2200X
Adult Health Nurse Practitioner
Primary
NP1111A
ID
363LP0200X
Pediatric Nurse Practitioner
23203A
ID
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
NP1111A
ID
Other
Enumeration date
08/24/2011
Last updated
04/27/2021
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