Individual provider · Type 1 NPI
Merdella Dora Bartley, AGNP-C
Gerontology Nurse Practitioner · Windsor, CT
NPI number
1548026529
Active
Practice location
340 Broad St Ste 100
Windsor, CT 06095-3030
Mailing address
111 Sparrowbush Rd
East Hartford, CT 06108-1215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 12912 (CT) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 12912 (CT) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1548026529
Merdella Dora Bartley, AGNP-C's National Provider Identifier is 1548026529, issued on Feb 26, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Windsor, CT. The record was last updated on Feb 26, 2024.