Provider Demographics
NPI:1396390019
Name:BARTKOWSKI, DARLE ELAINE
Entity Type:Individual
Prefix:
First Name:DARLE
Middle Name:ELAINE
Last Name:BARTKOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 PONDEROSA CIR
Mailing Address - Street 2:
Mailing Address - City:SEVEN BAYS
Mailing Address - State:WA
Mailing Address - Zip Code:99122-8702
Mailing Address - Country:US
Mailing Address - Phone:509-844-3961
Mailing Address - Fax:
Practice Address - Street 1:2232 PONDEROSA CIR
Practice Address - Street 2:
Practice Address - City:SEVEN BAYS
Practice Address - State:WA
Practice Address - Zip Code:99122-8702
Practice Address - Country:US
Practice Address - Phone:509-844-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker