Provider Demographics
NPI:1194429894
Name:BARTLETT, SHERRY (RN)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SALT LICK RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:WV
Mailing Address - Zip Code:26283-7141
Mailing Address - Country:US
Mailing Address - Phone:304-642-3042
Mailing Address - Fax:
Practice Address - Street 1:909 GORMAN AVE STE 6
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3100
Practice Address - Country:US
Practice Address - Phone:304-637-3630
Practice Address - Fax:304-637-5606
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV33490163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse