Provider Demographics
NPI:1801870167
Name:BARTER, JUANITA STOLTZFUS (BSN RNC)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:STOLTZFUS
Last Name:BARTER
Suffix:
Gender:F
Credentials:BSN RNC
Other - Prefix:MS
Other - First Name:JUANITA
Other - Middle Name:JOY
Other - Last Name:STOLTZFUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN RNC
Mailing Address - Street 1:373 HOLLY HOCK CIR
Mailing Address - Street 2:
Mailing Address - City:MOUNTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17554-1252
Mailing Address - Country:US
Mailing Address - Phone:717-285-0414
Mailing Address - Fax:
Practice Address - Street 1:1651 MOUNT ZION RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-9086
Practice Address - Country:US
Practice Address - Phone:717-600-0900
Practice Address - Fax:717-600-0910
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN276296L163WP0807X
NY532735163WP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50045380OtherCAPITAL BLUE CROSS