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Individual

MS. DENISE SUZANNE BARTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
US HIGHWAY 491 N, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
96281
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07962814
CO
05
18802222
NM
05
686339
AZ
Enumeration date
10/17/2005
Last updated
01/03/2008
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