Provider Demographics
NPI:1689839821
Name:BARTLETT, LINDA D (CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:D
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DR MSC 1455
Mailing Address - Street 2:CRC RM 5-2551
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-402-0029
Mailing Address - Fax:301-480-0795
Practice Address - Street 1:10 CENTER DR MSC 1455
Practice Address - Street 2:CRC RM 5-2551
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-402-0029
Practice Address - Fax:301-480-0795
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000177363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily