Provider Demographics
NPI:1952851438
Name:CARA BARTOS, APRN LLC
Entity Type:Organization
Organization Name:CARA BARTOS, APRN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTOS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-463-6128
Mailing Address - Street 1:124 SIMSBURY ROAD
Mailing Address - Street 2:9-B
Mailing Address - City:AVON
Mailing Address - State:CT
Mailing Address - Zip Code:06001
Mailing Address - Country:US
Mailing Address - Phone:860-463-6128
Mailing Address - Fax:
Practice Address - Street 1:152 SIMSBURY RD
Practice Address - Street 2:BUILDING #9
Practice Address - City:AVON
Practice Address - State:CT
Practice Address - Zip Code:06001-3777
Practice Address - Country:US
Practice Address - Phone:860-463-6128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentGroup - Single Specialty