Provider Demographics
NPI:1811138225
Name:BARTOSIK, BARBARA MARY (LPN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:MARY
Last Name:BARTOSIK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 HAMPDEN ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-4549
Mailing Address - Country:US
Mailing Address - Phone:413-539-9153
Mailing Address - Fax:
Practice Address - Street 1:287 HAMPDEN ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-4549
Practice Address - Country:US
Practice Address - Phone:413-539-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43628164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse