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NPI Code Detail

MEDICARE: REBECCA ANNE BARTLETT APRN

MEDICARE: REBECCA ANNE BARTLETT APRN
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
1363LF0000XFamily Nurse PractitionerAP09444LA

General Provider Information

NPI Number : 1649792045
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ANNE BARTLETT APRN
Provider Business Mailing Address
First Line : 5940 TORIA DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3792
Country : US
Telephone Number : 318-542-0706
Fax Number :
Provider Business Practice Location Address
First Line : 3335 PRESCOTT RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3916
Country : US
Telephone Number : 318-442-9395
Fax Number : 318-442-9548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2017
Last Update Date : 07/07/2017

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Directions to “ REBECCA ANNE BARTLETT APRN” Practice Location

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