Individual
MS. LLYERN L. BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
7711 QUARTERFIELD RD, SUITE A, GLEN BURNIE, MD 21061-4492
(410) 761-5600
(410) 761-5734
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R045605
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103190
JHHC PROVIDER NUMBER
MD
01
—
1971385
AETNA HMO
MD
05
—
406316300
—
MD
01
—
643295-03
CAREFIRST MD RENDERING
MD
01
—
7605-0078
CAREFIRST BLUECHOICE
MD
01
—
9727215
AETNA PPO
MD
01
—
P00380110
RR MEDICARE
MD
Enumeration date
11/21/2005
Last updated
01/24/2011
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