Doctor Name: | TRACEY L FOX BARTELS |
NPI Number: | 1316108301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, FNP |
License Number: | R052968 |
Business Practice Address: | 18 Pond Street Bucksport, ME - 04416 |
Business Phone Number: | 2077029016 |
Business Fax Number: | |
Mailing Address: | Po Box 1684, BUCKSPORT |
State: | ME |
Postal Code: | 044161684 |
Phone Number: | 2077029016 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 11/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R052968 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |