Provider Demographics
NPI:1033463807
Name:BARTHOLOMEW, PATRICIA ANNE (RN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANNE
Last Name:BARTHOLOMEW
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:452 N SWITZER CANYON DR
Mailing Address - Street 2:STE A
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-4855
Mailing Address - Country:US
Mailing Address - Phone:928-779-1227
Mailing Address - Fax:928-779-5884
Practice Address - Street 1:167 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:TUBA CITY
Practice Address - State:AZ
Practice Address - Zip Code:86045-0600
Practice Address - Country:US
Practice Address - Phone:928-283-2501
Practice Address - Fax:928-283-2677
Is Sole Proprietor?:No
Enumeration Date:2012-11-01
Last Update Date:2017-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZAP9880363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily