Provider Demographics
NPI:1275895625
Name:BARTON, HEATHER NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:NICOLE
Last Name:BARTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30927 MOLLY B RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3820
Mailing Address - Country:US
Mailing Address - Phone:805-428-6048
Mailing Address - Fax:
Practice Address - Street 1:32556 DOC'S PL
Practice Address - Street 2:UNIT 12
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6975
Practice Address - Country:US
Practice Address - Phone:302-645-9325
Practice Address - Fax:302-644-1203
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL34717207R00000X
DEC1-0012483207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine