Provider Demographics
NPI:1982913554
Name:BARTON, RICHARD S (CRNP)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:BARTON
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1266
Mailing Address - Country:US
Mailing Address - Phone:877-637-2924
Mailing Address - Fax:
Practice Address - Street 1:514 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-2201
Practice Address - Country:US
Practice Address - Phone:814-723-2219
Practice Address - Fax:814-723-9127
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-30
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010999363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN522868LOtherRN
PASP010999OtherCERTIFIED REGISTERED NURSE