Individual
COLLEEN ELIZABETH BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3001 W DR MLK BLVD, SUITE 3012, TAMPA, FL 33607-6307
(813) 554-8093
(813) 554-8657
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
(813) 974-2201
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
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