Provider Demographics
NPI:1700342169
Name:BARTLEY, MARGARET KRUMWIEDE
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:KRUMWIEDE
Last Name:BARTLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:BARTLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25 JAN CT STE 130
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4430
Mailing Address - Country:US
Mailing Address - Phone:530-345-2483
Mailing Address - Fax:530-345-3214
Practice Address - Street 1:25 JAN CT STE 130
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4430
Practice Address - Country:US
Practice Address - Phone:530-345-2483
Practice Address - Fax:530-345-3214
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator