Donna Bartley
Individual provider Active NPI Registered Nurse · Montgomery, LA
NPI 1366811697 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1366811697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 057918 (LA)
- Practice address
- 1101 Caddo Steet
Montgomery, LA 71454-0271 - Phone
- (318) 646-4025
- Fax
- (318) 646-4026
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057918 | LA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 057918 | LA | Yes |
Addresses
Primary practice location
1101 Caddo Steet
Montgomery, LA 71454-0271
Mailing address
1101 Caddo Steet
Montgomery, LA 71454-0271
Phone (318) 646-4025
Other providers in Montgomery, LA
- Bartley Enterprise Drug Screening
- BJC Healthcare, LLC
- Benjamin James Colvin
- Montgomery Clinic LLC
- Montgomery Pharmacy LLC
- Tara Sapp
All providers in Montgomery, LA · Registered Nurse in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.