Healthcare Provider Details

I. General information

NPI: 1801870167
Provider Name (Legal Business Name): JUANITA STOLTZFUS BARTER BSN RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JUANITA JOY STOLTZFUS BSN RNC

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 MOUNT ZION RD
YORK PA
17402-9086
US

IV. Provider business mailing address

373 HOLLY HOCK CIR
MOUNTVILLE PA
17554-1252
US

V. Phone/Fax

Practice location:
  • Phone: 717-600-0900
  • Fax: 717-600-0910
Mailing address:
  • Phone: 717-285-0414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberRN276296L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number532735
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: