Individual
LACEY JEAN BARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5355 W CHANDLER BLVD STE 3, CHANDLER, AZ 85226-8603
(480) 734-9581
Mailing address
5355 W CHANDLER BLVD STE 3, CHANDLER, AZ 85226-8603
(480) 734-9581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193326
AZ
363LF0000X
Family Nurse Practitioner
Primary
F04220494
AZ
Other
Enumeration date
09/05/2022
Last updated
04/24/2024
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