Provider Demographics
NPI:1376839712
Name:BARTON, LANDON P (CRNP)
Entity Type:Individual
Prefix:
First Name:LANDON
Middle Name:P
Last Name:BARTON
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 NASON DR
Mailing Address - Street 2:STE101
Mailing Address - City:ROARING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:16673-1212
Mailing Address - Country:US
Mailing Address - Phone:814-224-5132
Mailing Address - Fax:814-224-2903
Practice Address - Street 1:111 NASON DR
Practice Address - Street 2:STE 101
Practice Address - City:ROARING SPRING
Practice Address - State:PA
Practice Address - Zip Code:16673-1212
Practice Address - Country:US
Practice Address - Phone:814-224-5132
Practice Address - Fax:814-224-2903
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011432363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health