Provider Demographics
NPI:1174659684
Name:BARTON, MONIKA S (LPN)
Entity Type:Individual
Prefix:MRS
First Name:MONIKA
Middle Name:S
Last Name:BARTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 WOOLSON RD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-6288
Mailing Address - Country:US
Mailing Address - Phone:315-342-4328
Mailing Address - Fax:
Practice Address - Street 1:252 WOOLSON RD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-6288
Practice Address - Country:US
Practice Address - Phone:315-342-4328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273406-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse