Provider Demographics
NPI:1891868527
Name:BARTOLO, LINDA GAYLE (APRN)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GAYLE
Last Name:BARTOLO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2912 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19802-2935
Mailing Address - Country:US
Mailing Address - Phone:302-762-1604
Mailing Address - Fax:302-998-1154
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:SUITE 211
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5400
Practice Address - Country:US
Practice Address - Phone:302-998-1151
Practice Address - Fax:302-998-1154
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELD-0000131363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology