Provider Demographics
NPI:1063713436
Name:BARTON, AMY SUE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:SUE
Last Name:BARTON
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:SUE
Other - Last Name:LANGLAIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 211699
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-3699
Mailing Address - Country:US
Mailing Address - Phone:866-849-0692
Mailing Address - Fax:888-973-8821
Practice Address - Street 1:880 SW 145TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-6171
Practice Address - Country:US
Practice Address - Phone:866-849-0692
Practice Address - Fax:888-973-8821
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019222363LF0000X
TN35987363LF0000X
FLARNP9223539363LF0000X
AL3-001614363LF0000X
TX1112593363LF0000X
OHAPRN.CNP.0039174363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEO783XOtherMEDICARE
FL003294900Medicaid