Provider Demographics
NPI:1265172340
Name:BARTLETT, LOUIS SCOTT (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:SCOTT
Last Name:BARTLETT
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
Other - Prefix:MR
Other - First Name:LOUIS
Other - Middle Name:
Other - Last Name:BARTLETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:231 S ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-3544
Mailing Address - Country:US
Mailing Address - Phone:937-409-9201
Mailing Address - Fax:
Practice Address - Street 1:231 S ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-3544
Practice Address - Country:US
Practice Address - Phone:937-409-9201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0031067207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine