Individual
COLLEEN ELIZABETH BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
ARNP9258235
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9258235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028720000
—
FL
01
—
Y05PH
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/05/2010
Last updated
08/10/2016
Update your record
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