NPI | 1265112098 |
---|---|
Former Name | AMY DENISE BARTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71016294A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1115582) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4006535) | |
Enumeration Date | 2023-07-18 |
Last Update Date | 2025-08-05 |