Basic Information
| Provider Information | |||||||||
| NPI: | 1770013278 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARTON | ||||||||
| FirstName: | AMY | ||||||||
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| Credential: | APRN, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3583 COUNTY ROAD 400 | ||||||||
| Address2: | |||||||||
| City: | YOAKUM | ||||||||
| State: | TX | ||||||||
| PostalCode: | 779956632 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3618168505 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1200 CARL RAMERT DR | ||||||||
| Address2: | |||||||||
| City: | YOAKUM | ||||||||
| State: | TX | ||||||||
| PostalCode: | 779954868 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3612932321 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2017 | ||||||||
| LastUpdateDate: | 02/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 755940 | TX | N | Nursing Service Providers | Registered Nurse | 363LF0000X | AP134172 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.