Provider Demographics
NPI:1962708164
Name:BARTRAM, MILLA (CNP)
Entity type:Individual
Prefix:MS
First Name:MILLA
Middle Name:
Last Name:BARTRAM
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SPRINGSIDE DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4530
Mailing Address - Country:US
Mailing Address - Phone:330-666-9544
Mailing Address - Fax:330-670-8569
Practice Address - Street 1:231 SPRINGSIDE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4530
Practice Address - Country:US
Practice Address - Phone:330-666-9544
Practice Address - Fax:330-670-8569
Is Sole Proprietor?:No
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.1149-NP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health