Provider Demographics
NPI:1801919865
Name:BARTLETT, MARY KAY (RN, CNS)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:KAY
Last Name:BARTLETT
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Gender:F
Credentials:RN, CNS
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Mailing Address - Street 1:7300 BLANCO RD
Mailing Address - Street 2:SUITE 503
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-4936
Mailing Address - Country:US
Mailing Address - Phone:210-733-0990
Mailing Address - Fax:210-733-9603
Practice Address - Street 1:7300 BLANCO RD
Practice Address - Street 2:SUITE 503
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4936
Practice Address - Country:US
Practice Address - Phone:210-733-0990
Practice Address - Fax:210-733-9603
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TX527769364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health