Provider Demographics
NPI:1285425785
Name:BARTON, WENDY MARIE (NP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:MARIE
Last Name:BARTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:MARIE
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13677 E W BARTON RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ST MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32040-2901
Mailing Address - Country:US
Mailing Address - Phone:904-428-9224
Mailing Address - Fax:
Practice Address - Street 1:13677 E W BARTON RD
Practice Address - Street 2:
Practice Address - City:GLEN ST MARY
Practice Address - State:FL
Practice Address - Zip Code:32040-2901
Practice Address - Country:US
Practice Address - Phone:904-428-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF04250578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily