Provider Demographics
NPI:1083811624
Name:BARTOLINI, TARA L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:TARA
Middle Name:L
Last Name:BARTOLINI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 W BURRELL ST
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-1210
Mailing Address - Country:US
Mailing Address - Phone:724-459-4707
Mailing Address - Fax:
Practice Address - Street 1:6637 ROUTE 30
Practice Address - Street 2:ADK CARDIOLOGY
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644
Practice Address - Country:US
Practice Address - Phone:724-523-2000
Practice Address - Fax:724-527-5940
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005966W363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily