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Individual

FREDERICK LOUIS BARTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1525 BLANTON AVE SE, ROANOKE, VA 24014-5803
(240) 353-2042
Mailing address
1525 BLANTON AVE SE, ROANOKE, VA 24014-5803
(240) 353-2042

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN282379
GA
363L00000X
Nurse Practitioner
Primary
0347021
NY
363LF0000X
Family Nurse Practitioner
0024178830
VA
363LF0000X
Family Nurse Practitioner
198672
MT
363LF0000X
Family Nurse Practitioner
TMP-159931
KS

Other

Enumeration date
12/30/2019
Last updated
12/11/2024
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