Provider Demographics
NPI:1902795644
Name:BARTLETT, MADISON NICOLE (APRN)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:NICOLE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:NICOLE
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9025 WESTBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-4638
Mailing Address - Country:US
Mailing Address - Phone:913-982-7091
Mailing Address - Fax:
Practice Address - Street 1:7501 MISSION RD STE 103
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-4216
Practice Address - Country:US
Practice Address - Phone:913-632-9880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-84509-022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily