Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | RN097337 | GA |
NPI | 1023337870 |
---|---|
Provider Name | Ms. Katherine Evans Bartlett |
First Address | Cartersville, GA 30120-3802 |
Second Address | Portsmouth, VA 23708-2111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2010 |
Last Update Date | 28/03/2018 |