| Doctor Name: | DIANA BARTLETT |
| NPI Number: | 1023413358 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN |
| License Number: | AP60516830 |
| Business Practice Address: | 912 32nd St Suite A Anacortes, WA - 982213473 |
| Business Phone Number: | 3602934343 |
| Business Fax Number: | 3605881587 |
| Mailing Address: | 912 32nd St, Suite A ANACORTES |
| State: | WA |
| Postal Code: | 982213473 |
| Phone Number: | 3602934343 |
| Fax Number: | 3605881587 |
| NPI Enumeration Date: | 10/29/2014 |
| NPI Last Update Date: | 10/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | AP60516830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |