Provider Demographics
NPI:1144045675
Name:CHRISTLE, BARTON (BSN, RN)
Entity type:Individual
Prefix:
First Name:BARTON
Middle Name:
Last Name:CHRISTLE
Suffix:
Gender:M
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15655 W ROOSEVELT ST STE 243
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-9306
Mailing Address - Country:US
Mailing Address - Phone:623-248-5090
Mailing Address - Fax:623-248-6890
Practice Address - Street 1:15655 W ROOSEVELT ST STE 243
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9306
Practice Address - Country:US
Practice Address - Phone:623-248-5090
Practice Address - Fax:623-248-6890
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN206296163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse