MEDICARE: MS. EMILY ANNE BARTON CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	C02636	AR

General Provider Information

NPI Number	:	1710970009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY ANNE BARTON CRNA

Provider Business Mailing Address
First Line	:	PO BOX 7721
Second Line	:
City	:	VAN BUREN
State	:	AR
Zip	:	72956-0622
Country	:	US
Telephone Number	:	479-420-8552
Fax Number	:

Provider Business Practice Location Address
First Line	:	4509 PINE RIDGE DR
Second Line	:
City	:	VAN BUREN
State	:	AR
Zip	:	72956-6958
Country	:	US
Telephone Number	:	479-420-8552
Fax Number	:	479-474-0255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/07/2008

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