Individual provider · Type 1 NPI

Shantelle Bartra

Pediatric Nurse Practitioner · Hollywood, FL

NPI number 1689004905 Active

Practice location

3501 Johnson St
Hollywood, FL 33021-5421

Mailing address

2900 Corporate Way
Miramar, FL 33025-3925

Other practice locations

  • 801 N Flamingo Rd Ste 107, Pembroke Pines, FL 33028-1019 · (954) 265-7750
  • 16281 Bass Rd Ste 304, Fort Myers, FL 33908-9687 · (239) 343-7490

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP9330396 (FL)
Pediatric Nurse Practitioner 363LP0200X95010423 (CA)
Pediatric Nurse Practitioner Primary 363LP0200XAPRN9330396 (FL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1689004905

Shantelle Bartra's National Provider Identifier is 1689004905, issued on Nov 22, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Hollywood, FL. The record was last updated on Aug 24, 2026.