Healthcare Provider Details

I. General information

NPI: 1346741493
Provider Name (Legal Business Name): NATASHA LEIGH BARTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2018
Last Update Date: 02/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 BENTON AVE
BENTON ME
04901-3327
US

IV. Provider business mailing address

53 HILL RD
CLINTON ME
04927-3510
US

V. Phone/Fax

Practice location:
  • Phone: 204-453-4708
  • Fax:
Mailing address:
  • Phone: 207-649-0323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN52682
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: