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Contact Information

JUDY A BARTLE, APRN, BC, FNPGNP
965 MATTOX DR
SULLIVAN, MO63080-2365
 Phone: 573-860-6000
 Fax: 573-860-6016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JUDY A BARTLE · (Female)

NPI Number 1245387422
Status Active
Credentials APRN, BC, FNPGNP
Entity Individual
Enumeration date 01/03/2007
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 113196
  • AR Medicaid 175738758
  • MO Medicaid 1245387422
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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