Individual
MRS. KRISTA ROSE BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
990 N KINZIE AVE, BRADLEY, IL 60915-1233
(815) 933-2589
(815) 634-5253
Mailing address
990 N KINZIE AVE, BRADLEY, IL 60915-1233
(815) 933-2589
(815) 634-5253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041385652
IL
363LF0000X
Family Nurse Practitioner
Primary
209021125
IL
Other
Enumeration date
02/26/2020
Last updated
03/30/2021
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