MEDICARE: BRENDA DARLENE BARTON NP-C

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	15978	TN

General Provider Information

NPI Number	:	1730469958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA DARLENE BARTON NP-C

Provider Business Mailing Address
First Line	:	6141 SHALLOWFORD RD STE 100
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-1663
Country	:	US
Telephone Number	:	423-650-1922
Fax Number	:	423-498-2001

Provider Business Practice Location Address
First Line	:	2130 CHAMBLISS AVE NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37311-3839
Country	:	US
Telephone Number	:	423-984-2000
Fax Number	:	423-498-2001

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

Provider Enumeration Date	:	08/18/2011
Last Update Date	:	06/30/2023

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