Provider Demographics
NPI:1952709297
Name:HARTLEY, BARBARA VICTORIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:VICTORIA
Last Name:HARTLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73650
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0002
Mailing Address - Country:US
Mailing Address - Phone:440-306-2358
Mailing Address - Fax:440-306-2359
Practice Address - Street 1:2760 SOM CENTER RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY HILLS
Practice Address - State:OH
Practice Address - Zip Code:44094-9111
Practice Address - Country:US
Practice Address - Phone:440-306-2358
Practice Address - Fax:440-306-2359
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH019534363LF0000X
261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCTP.020467.EOtherOHIO BOARD OF NURSING
OHRN.390716OtherOHIO BOARD OF NURSING
OHAPRN.CNP.019534OtherOHIO BOARD OF NURSING
OHAPRN.CNP.019534OtherOHIO BOARD OF NURSING