Provider Demographics
NPI:1083615140
Name:BARTON-CARO, VERA ANN (C FNP)
Entity Type:Individual
Prefix:MRS
First Name:VERA
Middle Name:ANN
Last Name:BARTON-CARO
Suffix:
Gender:F
Credentials:C FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 PARK VIEW LN
Mailing Address - Street 2:SUITE #202
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5493
Mailing Address - Country:US
Mailing Address - Phone:304-242-4700
Mailing Address - Fax:304-242-7012
Practice Address - Street 1:111 PARK VIEW LN
Practice Address - Street 2:SUITE #202
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-5493
Practice Address - Country:US
Practice Address - Phone:304-242-4700
Practice Address - Fax:304-242-7012
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0377093 22363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2400422Medicaid
WV001719911OtherBLUE CROSS BLUE SHIELD
WV7104175 000Medicaid
WV001719911OtherBLUE CROSS BLUE SHIELD
OH2400422Medicaid