Provider Demographics
NPI:1881650851
Name:BARTON, KATHY (CRNP)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:BARTON
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 1:5000 WATERDAM PLAZA DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5412
Mailing Address - Country:US
Mailing Address - Phone:724-941-0111
Mailing Address - Fax:724-942-2130
Practice Address - Street 1:5000 WATERDAM PLAZA DR
Practice Address - Street 2:SUITE 240
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5412
Practice Address - Country:US
Practice Address - Phone:724-941-0111
Practice Address - Fax:724-942-2130
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP005652B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS78801Medicare UPIN
PA026588Medicare ID - Type Unspecified