Provider Demographics
NPI:1689873564
Name:BARTON, MAUREEN PATRICIA (CNM)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:PATRICIA
Last Name:BARTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 OAK GROVE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-1231
Mailing Address - Country:US
Mailing Address - Phone:615-727-4550
Mailing Address - Fax:615-577-8104
Practice Address - Street 1:210 OAK GROVE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217
Practice Address - Country:US
Practice Address - Phone:615-727-4550
Practice Address - Fax:615-577-8104
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3002803363LW0102X
TN0000011516367A00000X
TN0000121517163W00000X
TN11516176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ031348Medicaid
TN003105177OtherUNITED HEALTH CARE COMMUNITY PLAN
2462728OtherCIGNA
KYP400031244Medicare PIN
KYP400031426Medicare PIN
KYP400031427Medicare PIN
TN103I423230Medicare PIN