Individual
BEVERLY BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4188 ACME RD, APT 2, FRANKFORT, NY 13340-3503
(315) 601-5512
Mailing address
4188 ACME RD, APT 2, FRANKFORT, NY 13340-3503
(315) 601-5512
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286729-1
NY
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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