Provider Demographics
NPI:1568653012
Name:BARTON, DENISE KALEIALOHA (FNP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:KALEIALOHA
Last Name:BARTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:DENISE
Other - Middle Name:KALEIALOHA
Other - Last Name:HOUSSEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:2391 CALISTOGA DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023
Mailing Address - Country:US
Mailing Address - Phone:831-636-5326
Mailing Address - Fax:831-635-0607
Practice Address - Street 1:41 SANTA ANA RD
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-4016
Practice Address - Country:US
Practice Address - Phone:831-638-0212
Practice Address - Fax:831-638-0214
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP10898363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner