Provider Demographics
NPI:1699875492
Name:BARTELS, EMBER JOY (CNA)
Entity type:Individual
Prefix:
First Name:EMBER
Middle Name:JOY
Last Name:BARTELS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:EMBER
Other - Middle Name:JOY
Other - Last Name:ALBERTSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:640 FLORMANN STREET
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-718-3343
Mailing Address - Fax:605-718-3437
Practice Address - Street 1:640 FLORMANN ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4600
Practice Address - Country:US
Practice Address - Phone:605-718-3343
Practice Address - Fax:605-718-3437
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty