Provider Demographics
NPI:1609044379
Name:BARTON, LISETTE (FNP)
Entity Type:Individual
Prefix:
First Name:LISETTE
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LISETTE
Other - Middle Name:
Other - Last Name:DEHAVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:8150 SOUTHWEST FWY
Mailing Address - Street 2:STE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1719
Mailing Address - Country:US
Mailing Address - Phone:713-981-1605
Mailing Address - Fax:
Practice Address - Street 1:8150 SOUTHWEST FWY
Practice Address - Street 2:STE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1719
Practice Address - Country:US
Practice Address - Phone:713-981-1605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX516527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily