Individual
AMY C. BARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1520 S MAIN ST, SUITE 2, DAYTON, OH 45409-2698
(937) 461-5815
(937) 461-2896
Mailing address
1520 S MAIN ST, SUITE 2, DAYTON, OH 45409-2698
(937) 461-5815
(937) 461-2896
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.314497
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.12030-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3110243
OH MEDICAID
OH
01
—
COA.12030-NP
STATE LICENSE
OH
01
—
H047371
OH MEDICARE
OH
01
—
RN.314497
STATE LICENSE
OH
Enumeration date
10/13/2010
Last updated
06/05/2015
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