Healthcare Provider Details

I. General information

NPI: 1982913554
Provider Name (Legal Business Name): RICHARD S BARTON CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2010
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 W 3RD AVE
WARREN PA
16365-2201
US

IV. Provider business mailing address

330 S 9TH ST
PITTSBURGH PA
15203-1266
US

V. Phone/Fax

Practice location:
  • Phone: 814-723-2219
  • Fax: 814-723-9127
Mailing address:
  • Phone: 877-637-2924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP010999
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: