Provider Demographics
NPI:1083171045
Name:BARTLESON, ARIANNA CURTIS (MLS (ASCP)MT)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNA
Middle Name:CURTIS
Last Name:BARTLESON
Suffix:
Gender:F
Credentials:MLS (ASCP)MT
Other - Prefix:MS
Other - First Name:ARIANNA
Other - Middle Name:
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1014 DURBAN DR
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-2243
Mailing Address - Country:US
Mailing Address - Phone:850-490-1598
Mailing Address - Fax:
Practice Address - Street 1:1014 DURBAN DR
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-2243
Practice Address - Country:US
Practice Address - Phone:850-490-1598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL49448246QM0706X
260613246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist