Provider Demographics
NPI:1568648152
Name:BARTLEY, WARREN DOUGLAS (MSN,RN,CS,FNP,COHN-S)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:DOUGLAS
Last Name:BARTLEY
Suffix:
Gender:M
Credentials:MSN,RN,CS,FNP,COHN-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O, BOX 4119
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78523-4119
Mailing Address - Country:US
Mailing Address - Phone:956-541-5231
Mailing Address - Fax:956-541-9588
Practice Address - Street 1:864 CENTRAL BLVD STE 100
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-541-5231
Practice Address - Fax:956-541-9588
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX605979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily