Merdella D Bartley, AGNP-C
Nurse Practitioner, Gerontology in Windsor, Connecticut
1548026529- Practice location
- 340 Broad St Ste 100, Windsor, CT 06095-3030
- Phone
- 860-580-7170
- Fax
- —
- Last updated
- February 26, 2024
Merdella Dora Bartley is a Nurse Practitioner, Gerontology based in Windsor, CT. Merdella Dora Bartley practices in Windsor, CT and has the professional credentials of AGNP-C. The NPI Number for Merdella Dora Bartley is 1548026529 and holds a License No. 12912 (CT). The current practice location address for Merdella Dora Bartley is 340 Broad St Ste 100, Windsor, CT 06095-3030 and can be reached out via phone at 860-580-7170.
Provider Profile Details
- NPI Number
- 1548026529
- Provider Name
- Merdella Dora Bartley
- Credential
- AGNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 340 Broad St Ste 100, Windsor, CT 06095-3030
- Phone Number
- 860-580-7170
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 26, 2024
- Last Update Date
- February 26, 2024
- Certification Date
- February 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 Broad St Ste 100
Windsor, CT 06095-3030 - City
- Windsor
- State
- Connecticut
- Zip
- 06095-3030
- Phone Number
- 860-580-7170
Provider Business Mailing Address Details
- Address
- 111 Sparrowbush RD
East Hartford, CT 06108-1215 - City
- East Hartford
- State
- CT
- Zip
- 06108-1215
- Phone Number
- 347-806-8824
License Information
- License Number (1)
- 12912
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (2)
- 12912
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Merdella D Bartley, AGNP-C?
The NPI number of Merdella D Bartley, AGNP-C is 1548026529. It was assigned on February 26, 2024 and is currently active in the NPPES registry.
What is the specialty of Merdella D Bartley, AGNP-C?
Merdella D Bartley, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in CT under license number 12912.
Where does Merdella D Bartley, AGNP-C practice?
The practice location is 340 Broad St Ste 100, Windsor, CT 06095-3030. The office can be reached at 860-580-7170 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548026529 directly on the NPPES registry website.