Healthcare Provider Details

I. General information

NPI: 1962797605
Provider Name (Legal Business Name): MICHELLE BARTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 04/06/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 PEACH ST SUITE 200
ERIE PA
16507-1423
US

IV. Provider business mailing address

100 PEACH ST STE 200 USX STEEL TOWER, 7TH FLOOR, 744
ERIE PA
16507-1423
US

V. Phone/Fax

Practice location:
  • Phone: 814-456-7733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF1110148
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: