Provider Demographics
NPI:1306579818
Name:BARTNICKA, ARINA
Entity type:Individual
Prefix:
First Name:ARINA
Middle Name:
Last Name:BARTNICKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 E 1ST ST FL 4
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2242
Mailing Address - Country:US
Mailing Address - Phone:218-249-7940
Mailing Address - Fax:
Practice Address - Street 1:1015 E 1ST ST FL 4
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-2242
Practice Address - Country:US
Practice Address - Phone:218-249-7940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-03
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7954-23363A00000X
MN14951363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant