Provider Demographics
NPI:1699180075
Name:BARTZ, ANA (DNP FNP-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:BARTZ
Suffix:
Gender:F
Credentials:DNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 BAVARIA HILLS TER
Mailing Address - Street 2:
Mailing Address - City:CHASKA
Mailing Address - State:MN
Mailing Address - Zip Code:55318-2700
Mailing Address - Country:US
Mailing Address - Phone:952-412-2650
Mailing Address - Fax:
Practice Address - Street 1:9800 SHELARD PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441
Practice Address - Country:US
Practice Address - Phone:952-412-2650
Practice Address - Fax:763-545-8150
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNF06141117363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily