Individual
LISA BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7075 INDUSTRIAL RD, FLORENCE, KY 41042-3053
(859) 282-1770
Mailing address
502 FARRELL DR, COVINGTON, KY 41011-3717
(859) 578-3204
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1052770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
04/03/2014
Last updated
04/03/2014
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