Healthcare Provider Details

I. General information

NPI: 1548234222
Provider Name (Legal Business Name): DEBORAH D BARTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 11/27/2023
Certification Date: 03/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 E MEDICAL CENTER DR STE # 4100
ST GEORGE UT
84790-2156
US

IV. Provider business mailing address

1055 N 500 W ATTN: CREDENTIALING
PROVO UT
84604-3305
US

V. Phone/Fax

Practice location:
  • Phone: 435-251-2900
  • Fax: 435-251-2901
Mailing address:
  • Phone: 801-354-8225
  • Fax: 801-418-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number205240-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: