Bonnie Jean Bartlett
Nurse Practitioner - Pediatrics
1 University Cir
Macomb
, Illinois 61455-1367
Bonnie Jean Bartlett
Nurse Practitioner - Pediatrics
1 University Cir
Macomb
, Illinois 61455-1367
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Bonnie Jean Bartlett
- 21495 State Route 41
- Prairie City, IL
- Zip : 61470-8319
- Phone :
Second Address
- Bonnie Jean Bartlett
- 1 University Cir
- Macomb, IL
- Zip : 61455-1367
- Phone : (309) 298-1888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | IL |
National Provider Identifier
| NPI | 1043367295 |
|---|---|
| Provider Name | Bonnie Jean Bartlett |
| First Address | Prairie City, IL 61470-8319 |
| Second Address | Macomb, IL 61455-1367 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.