Julie Marie Bartlow, MSN, APN, CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Macomb, IL
NPI 1831212901 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1831212901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 209.005254 (IL)
- Practice address
- 505 E Grant St Ste 202
Macomb, IL 61455-3373 - Phone
- (309) 833-1729
- Fax
- (309) 836-1779
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005254 | IL | MD | Critical Care Neonatal Nurse Practitioner |
| 209.005254 | IL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 209.005254 | IL | Yes |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 209005254 | IL |
Addresses
Primary practice location
505 E Grant St Ste 202
Macomb, IL 61455-3373
Mailing address
505 E Grant St Ste 202
Macomb, IL 61455-3373
Phone (309) 833-1729
Other providers in Macomb, IL
- Leslie L Baldwin
- Angela Barker
- William G. Barnes
- Larry W Bartels
- Bonnie Jean Bartlett
- Josie Lee Bauer
- Skylar Marie Beard
- Vickie Y Beard
- Megan Becker
- Amy Beckman
All providers in Macomb, IL · Pediatric Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2017. 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.