Individual
CONSUELO BARTYZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
691 MURPHY RD STE 107, MEDFORD, OR 97504-4311
(541) 789-6460
Mailing address
3377 SNOWY BUTTE LN, CENTRAL POINT, OR 97502-1561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201911334NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/16/2019
Last updated
12/23/2019
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