| Doctor Name: | BETHANY LYN BARTLETT |
| NPI Number: | 1043565724 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | TAP4530 |
| Business Practice Address: | 2920 N 4th St Flagstaff, AZ - 860041816 |
| Business Phone Number: | 9282136100 |
| Business Fax Number: | |
| Mailing Address: | P.o. Box 3630, FLAGSTAFF |
| State: | AZ |
| Postal Code: | 86003 |
| Phone Number: | 9282136100 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2012 |
| NPI Last Update Date: | 07/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | TAP4530 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |