MEDICARE: MRS. HOLLY MARGARET BARTLETT

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	171716	AK
2	363LF0000X	Family Nurse Practitioner	9553354	FL

General Provider Information

NPI Number	:	1760328868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HOLLY MARGARET BARTLETT

Provider Business Mailing Address
First Line	:	2741 ROSEMONT DR
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-3103
Country	:	US
Telephone Number	:	850-380-4370
Fax Number	:	850-380-4370

Provider Business Practice Location Address
First Line	:	2741 ROSEMONT DR
Second Line	:
City	:	NAVARRE
State	:	FL
Zip	:	32566-3103
Country	:	US
Telephone Number	:	850-380-4370
Fax Number	:	850-380-4370

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	05/28/2026

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