Individual
MRS. ANDREA MARIE BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 S 500 E STE 100, OGDEN, UT 84405-6957
(801) 475-7966
Mailing address
PO BOX 405714, ATLANTA, GA 30384-5714
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
5899567-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
5899567-4405
UT
363LP2300X
Primary Care Nurse Practitioner
5899567-4405
UT
Other
Enumeration date
02/06/2023
Last updated
08/10/2023
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