Doctor Name: | MRS. JOANNE BARTLETT |
NPI Number: | 1497032122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 548956 |
Business Practice Address: | 116 Alexandria Ave Ticonderoga, NY - 128831644 |
Business Phone Number: | 5185857400 |
Business Fax Number: | 5185859065 |
Mailing Address: | 116 Alexandria Ave, TICONDEROGA |
State: | NY |
Postal Code: | 128831644 |
Phone Number: | 5185857400 |
Fax Number: | 5185859065 |
NPI Enumeration Date: | 11/09/2011 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 548956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |