Provider Demographics
NPI:1003111576
Name:BARTLETT, VERONICA ETHEL (FNP, MS-RN)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:ETHEL
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:FNP, MS-RN
Other - Prefix:
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Mailing Address - Street 1:P.O. BOX 1081
Mailing Address - Street 2:
Mailing Address - City:LA JUNTA
Mailing Address - State:CO
Mailing Address - Zip Code:81050
Mailing Address - Country:US
Mailing Address - Phone:719-383-0445
Mailing Address - Fax:719-383-0448
Practice Address - Street 1:2215 SAN JUAN AVE
Practice Address - Street 2:
Practice Address - City:LA JUNTA
Practice Address - State:CO
Practice Address - Zip Code:81050
Practice Address - Country:US
Practice Address - Phone:719-383-0445
Practice Address - Fax:719-383-0448
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0010351-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily