Provider Demographics
NPI:1831212901
Name:BARTLOW, JULIE MARIE (MSN, APN, CPNP-PC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARIE
Last Name:BARTLOW
Suffix:
Gender:F
Credentials:MSN, APN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 E GRANT ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:IL
Mailing Address - Zip Code:61455-3373
Mailing Address - Country:US
Mailing Address - Phone:309-833-1729
Mailing Address - Fax:309-836-1779
Practice Address - Street 1:505 E GRANT ST STE 202
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:IL
Practice Address - Zip Code:61455-3373
Practice Address - Country:US
Practice Address - Phone:309-833-1729
Practice Address - Fax:309-836-1779
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.005254363LP0200X
IL209005254363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care