Individual
MS. JUDY ANN BARTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC, FNPGNP
Contact information
Practice address
965 MATTOX DR, SULLIVAN, MO 63080-2365
(573) 860-6000
(573) 860-6016
Mailing address
670 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8573
(573) 860-6000
(573) 860-6016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113196
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245387422
—
MO
05
—
175738758
—
AR
Enumeration date
01/03/2007
Last updated
07/21/2022
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