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NPI Code Detail

MEDICARE: ROBERT DEAN BARTLETT DNP, AGACNP

MEDICARE: ROBERT DEAN BARTLETT DNP, AGACNP
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
1363LA2100XAcute Care Nurse Practitioner7986302-4405UT
2363L00000XNurse Practitioner7986302-4405UT

General Provider Information

NPI Number : 1821596701
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DEAN BARTLETT DNP, AGACNP
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-314-2400
Fax Number :
Provider Business Practice Location Address
First Line : 9450 S 1300 E
Second Line :
City : SANDY
State : UT
Zip : 84094-5555
Country : US
Telephone Number : 801-314-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2018
Last Update Date : 04/17/2026

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