Healthcare Provider Details

I. General information

NPI: 1104029669
Provider Name (Legal Business Name): KAREN GUDRUN BARTON RNC, MS, CRNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN GUDRUN BARTON NP

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 12/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W WHITE HORSE PIKE STE 100
BERLIN NJ
08009
US

IV. Provider business mailing address

181 W WHITE HORSE PIKE STE 100
BERLIN NJ
08009-2032
US

V. Phone/Fax

Practice location:
  • Phone: 856-767-3234
  • Fax: 856-767-3518
Mailing address:
  • Phone: 856-767-3234
  • Fax: 856-767-3518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NN07811700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: