Provider Demographics
NPI:1427816966
Name:BARTEL, NICOLE VANESSA
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:VANESSA
Last Name:BARTEL
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 1:2855 LANIER CT APT 203
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-6560
Mailing Address - Country:US
Mailing Address - Phone:517-375-4756
Mailing Address - Fax:
Practice Address - Street 1:2855 LANIER CT APT 203
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-6560
Practice Address - Country:US
Practice Address - Phone:517-375-4756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant