MEDICARE: MS. SHARON KAY BARTEK BS

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1891958450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON KAY BARTEK BS

Provider Business Mailing Address
First Line	:	5012 LOWELL AVE APT EAST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5469
Country	:	US
Telephone Number	:	402-540-1133
Fax Number	:

Provider Business Practice Location Address
First Line	:	5012 LOWELL AVE APT EAST
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-5469
Country	:	US
Telephone Number	:	402-540-1133
Fax Number	:

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

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	07/03/2008

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