Provider Demographics
NPI:1346813599
Name:BARTH, JUSTEEN JO (CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:JUSTEEN
Middle Name:JO
Last Name:BARTH
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351-1603
Mailing Address - Country:US
Mailing Address - Phone:567-232-1980
Mailing Address - Fax:
Practice Address - Street 1:2702 NAVARRE AVE STE 302
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3224
Practice Address - Country:US
Practice Address - Phone:419-696-3280
Practice Address - Fax:419-696-3281
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019477363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology