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Individual

MRS. CAREY BARTNICKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2120 N MAIN ST STE B, NEWCASTLE, OK 73065-6247
(405) 792-0200
(405) 652-0420
Mailing address
2120 N MAIN ST STE B, NEWCASTLE, OK 73065-6247
(405) 792-0200
(405) 652-0420

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
113552
OK
363LF0000X
Family Nurse Practitioner
Primary
113552
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200723610A
OK
01
613918YMU8
MEDICARE PTAN-OHHP
OK
Enumeration date
07/11/2014
Last updated
08/06/2024
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