Provider Demographics
NPI:1962869008
Name:BARTELL, NATALIE JEANE (FNP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JEANE
Last Name:BARTELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:JEANE
Other - Last Name:BANKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11495 OK 51
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429
Mailing Address - Country:US
Mailing Address - Phone:918-727-2820
Mailing Address - Fax:833-673-0318
Practice Address - Street 1:11495 OK-51
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429
Practice Address - Country:US
Practice Address - Phone:918-727-2820
Practice Address - Fax:833-673-0318
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-1681A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily