Alica Kelly Bartlett in Gurnee - Women's Health

Alica Kelly Bartlett - NPI 1306836697

Alica Kelly Bartlett is a Women's Health in Gurnee, Illinois. Alica Kelly Bartlett practices all healthcare services and medical treatments related to Women's Health. The NPI Number for Alica Kelly Bartlett is 1306836697. The last update date is 2007-07-08.

Alica Kelly Bartlett's current location address is 4298 New Haven Ave, Gurnee, Illinois. You can contact this provider via phone number 8476885568 and fax number 8476884413. The mailing address for Alica Kelly Bartlett is 4298 New Haven Ave, Gurnee, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Alica Kelly Bartlett
Address 4298 New Haven Ave, Gurnee, Illinois
Phone Number 8476885568
Fax Number 8476884413
Sole Proprietor N
Credentials WHNP

NPI Number Detail

NPI Number 1306836697
Provider Enumeration Date 2005-10-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4298 New Haven Ave
City Gurnee
State Illinois (IL)
Post Code 600315805
Phone Number 8476885568
Fax Number 8476884413

Provider's Primary Taxonomy Detail

Speciality Women's Health
Taxonomy 363Lw0102X
Licence No 561349
Definition:
An advanced practice registered nurse expert in specialized healthcare for women with a focus on reproductive health.

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FAQs about Alica Kelly Bartlett

What is the unique 10-digit identification code assigned to Alica Kelly Bartlett by the Centers for Medicare & Medicaid Services?

The Alica Kelly Bartlett has been issued the NPI (National Provider Identifier) 1306836697, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Alica Kelly Bartlett's facilities are situated?

The facilities of Alica Kelly Bartlett are physically located at the following address: 4298 New Haven Ave, Gurnee, IL, 600315805.

What is Alica Kelly Bartlett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Alica Kelly Bartlett is Women's Health, and the taxonomy code that classifies this field of practice is 363Lw0102X.

On what date did the Alica Kelly Bartlett receive the assignment of its 1306836697 from the Centers for Medicare & Medicaid Services?

The Alica Kelly Bartlett was issued its 1306836697 by the Centers for Medicare & Medicaid Services on 2005-10-27.

As of what date were the details related to Alica Kelly Bartlett most recently updated or revised?

The information pertaining to Alica Kelly Bartlett, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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