Individual
MRS. MICHELLE M BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Contact information
Practice address
765 ROUTE 10 E STE 203, RANDOLPH, NJ 07869-1925
(973) 659-9991
Mailing address
765 ROUTE 10 E STE 203, RANDOLPH, NJ 07869-1925
(973) 659-9991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO11973500
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00404300
NJ
Other
Enumeration date
10/14/2012
Last updated
11/23/2012
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