Provider Demographics
NPI:1619998259
Name:BARTON, LAURIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:
Last Name:BARTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3501
Mailing Address - Country:US
Mailing Address - Phone:251-962-1250
Mailing Address - Fax:251-967-7832
Practice Address - Street 1:101 E 15TH AVE
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3501
Practice Address - Country:US
Practice Address - Phone:251-962-1250
Practice Address - Fax:251-968-5905
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR862352363LF0000X
TN6198363LF0000X
AL1-180833363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS500001341Medicare ID - Type UnspecifiedMEDICARE MS
MSP91025Medicare UPIN
MSP00314518Medicare ID - Type UnspecifiedRAILROAD MEDICARE