Provider Demographics
NPI:1902128358
Name:BARNHART, CHARLOTTE ROSE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:ROSE
Last Name:BARNHART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CHARLOTTE
Other - Middle Name:ROSE
Other - Last Name:PUTNAM-MAYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:2 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2907
Practice Address - Country:US
Practice Address - Phone:740-592-7100
Practice Address - Fax:740-592-7112
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.13790363LF0000X
OH13790NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0114799Medicaid
WV3810028307Medicaid
WV3810028307Medicaid