| NPI | 1265112098 |
|---|---|
| Former Name | AMY DENISE BARTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4006535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1115582) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-01-02 |