Provider Demographics
NPI:1841406337
Name:BARTZ, DARLEEN RUTH (APRN, PHD)
Entity Type:Individual
Prefix:DR
First Name:DARLEEN
Middle Name:RUTH
Last Name:BARTZ
Suffix:
Gender:F
Credentials:APRN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 EAST OWENS AVENUE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1710
Mailing Address - Country:US
Mailing Address - Phone:701-255-4010
Mailing Address - Fax:
Practice Address - Street 1:600 E BOULEVARD AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58505-0660
Practice Address - Country:US
Practice Address - Phone:701-328-4837
Practice Address - Fax:701-328-1980
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR17325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND19598Medicaid
ND15760Medicare ID - Type UnspecifiedBCBS
ND557137Medicare UPIN