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Individual

DEBORAH ANN BARTLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
121 W MAIN STREET, PORT WASHINGTON, WI 53074
(262) 284-8200
(262) 284-8103
Mailing address
121 W MAIN STREET, PORT WASHINGTON, WI 53074
(262) 284-8200
(262) 284-8103

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96593
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43111400
WI
Enumeration date
02/06/2012
Last updated
02/06/2012
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