Doctor Name: | TRISHA ANN BARTLETT |
NPI Number: | 1245457977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 001806 |
Business Practice Address: | 903 Willson Ave Webster City, IA - 505952214 |
Business Phone Number: | 5158323332 |
Business Fax Number: | |
Mailing Address: | 1519 250th St, MADRID |
State: | IA |
Postal Code: | 501567515 |
Phone Number: | 5152120973 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 01/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |