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NPI Code Detail

MEDICARE: CHARLIE M. BARTLETT F.N.P.

MEDICARE: CHARLIE M. BARTLETT F.N.P.
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
1363L00000XNurse PractitionerRN151508TN
2363L00000XNurse PractitionerAPN11556TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00312077OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
34115099OTHERTNBLUE CROSS

General Provider Information

NPI Number : 1821022716
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLIE M. BARTLETT F.N.P.
Provider Business Mailing Address
First Line : 10321 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3224
Country : US
Telephone Number : 865-584-3565
Fax Number : 865-909-0003
Provider Business Practice Location Address
First Line : 10321 KINGSTON PIKE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-3224
Country : US
Telephone Number : 865-584-3565
Fax Number : 865-909-0003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 01/11/2017

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Directions to “ CHARLIE M. BARTLETT F.N.P.” Practice Location

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