Provider Demographics
NPI:1285188359
Name:BARTON, MATTHEW CARLYLE (NP-C)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:CARLYLE
Last Name:BARTON
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 FAIRFAX FARMS RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-2721
Mailing Address - Country:US
Mailing Address - Phone:703-955-2796
Mailing Address - Fax:
Practice Address - Street 1:4715 15TH ST N
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-2640
Practice Address - Country:US
Practice Address - Phone:703-525-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024173668363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily