Individual
SHANTELLE BARTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9330396
FL
363LP0200X
Pediatric Nurse Practitioner
95010423
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9330396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010291400
—
FL
05
—
115124300
—
FL
Enumeration date
11/22/2013
Last updated
10/10/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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