Bartley, Merdella Dora
Bartley, Merdella Dora is an individual health care provider with primary practice located at 340 Broad St Ste 100 , Windsor CT 06095-3030. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Bartley, Merdella Dora can be contacted via phone (860) 580-7170.Contact Information
Primary practice address
340 Broad St Ste 100
Windsor CT 06095-3030
Phone: (860) 580-7170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 12912 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 12912 | Connecticut |
Profile Details
| NPI number | 1548026529 |
|---|---|
| LBN Legal business name | Bartley, Merdella Dora |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 26th, 2024 |
| Last updated | Feb 26th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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