Provider Demographics
NPI:1821850546
Name:BARTOLO, LOU JAMES (DNP, MSN, RN)
Entity Type:Individual
Prefix:DR
First Name:LOU
Middle Name:JAMES
Last Name:BARTOLO
Suffix:
Gender:M
Credentials:DNP, MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4720 CHEVY CHASE DR APT 407
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6432
Mailing Address - Country:US
Mailing Address - Phone:504-616-5943
Mailing Address - Fax:
Practice Address - Street 1:4720 CHEVY CHASE DR APT 407
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6432
Practice Address - Country:US
Practice Address - Phone:504-616-5943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1049542163W00000X
MDR239918163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse