Individual
LACEY JEAN BARTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
13771 N FOUNTAIN HILLS BLVD, FOUNTAIN HILLS, AZ 85268-3762
(888) 662-3376
Mailing address
13771 N FOUNTAIN HILLS BLVD, FOUNTAIN HILLS, AZ 85268-3762
(888) 662-3376
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
05/21/2026
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