Healthcare Provider Details

I. General information

NPI: 1477248409
Provider Name (Legal Business Name): MICHELE ANN BARTS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5306 NC HIGHWAY 55
DURHAM NC
27713-7812
US

IV. Provider business mailing address

8911 N CAPITAL OF TEXAS HWY STE 1110
AUSTIN TX
78759-7203
US

V. Phone/Fax

Practice location:
  • Phone: 877-279-5960
  • Fax: 877-384-3106
Mailing address:
  • Phone: 877-279-5960
  • Fax: 877-384-3106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017915
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: