Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0010351-NP | CO |
NPI | 1003111576 |
---|---|
Provider Name | Ms. Veronica Ethel Bartlett |
First Address | La Junta, CO 81050 |
Second Address | La Junta, CO 81050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2011 |
Last Update Date | 28/05/2014 |