MEDICARE: MRS. BONNIE BARTELS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1093923807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BONNIE BARTELS

Provider Business Mailing Address
First Line	:	1350 NW 138TH ST
Second Line	:	SUITE 200
City	:	DES MOINES
State	:	IA
Zip	:	50325-8377
Country	:	US
Telephone Number	:	515-223-7363
Fax Number	:	515-223-9570

Provider Business Practice Location Address
First Line	:	1350 NW 138TH ST
Second Line	:	SUITE 200
City	:	DES MOINES
State	:	IA
Zip	:	50325-8377
Country	:	US
Telephone Number	:	515-223-7363
Fax Number	:	515-223-9570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	07/08/2007

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