Healthcare Provider Details

I. General information

NPI: 1407965478
Provider Name (Legal Business Name): PATRICIA LYNN BARTEL P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA LYNN BARRETO

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W FIR AVE STE 101
CLOVIS CA
93611
US

IV. Provider business mailing address

221 W FIR AVE STE 101
CLOVIS CA
93611-0223
US

V. Phone/Fax

Practice location:
  • Phone: 559-624-2215
  • Fax:
Mailing address:
  • Phone: 559-299-7294
  • Fax: 559-299-0641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA13905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: