Provider Demographics
NPI:1922270065
Name:BARTES, LEONOR (RN)
Entity Type:Individual
Prefix:MS
First Name:LEONOR
Middle Name:
Last Name:BARTES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 HAMMERSLEY RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-3362
Mailing Address - Country:US
Mailing Address - Phone:641-919-5777
Mailing Address - Fax:
Practice Address - Street 1:505 STOUGHTON RD
Practice Address - Street 2:APT. 15
Practice Address - City:EDGERTON
Practice Address - State:WI
Practice Address - Zip Code:53534-1172
Practice Address - Country:US
Practice Address - Phone:641-919-5777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI39964600Medicaid