MEDICARE: MS. PATRICE ANN BARTELME MS, FNP

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	363LF0000X	Family Nurse Practitioner	206-033	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265427322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICE ANN BARTELME MS, FNP

Provider Business Mailing Address
First Line	:	5774 N KENT AVE
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4724
Country	:	US
Telephone Number	:	414-963-8932
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 N 7TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53205-1701
Country	:	US
Telephone Number	:	414-265-6360
Fax Number	:	414-265-8151

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

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	05/08/2008

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