Provider Demographics
NPI:1679464408
Name:BARTLETT, HEATHER LYNN (DNP, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:LYNN
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:CLARK MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13321-3352
Mailing Address - Country:US
Mailing Address - Phone:856-371-9531
Mailing Address - Fax:
Practice Address - Street 1:16 WHITE ST
Practice Address - Street 2:
Practice Address - City:CLARK MILLS
Practice Address - State:NY
Practice Address - Zip Code:13321-3352
Practice Address - Country:US
Practice Address - Phone:856-371-9531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1206406363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily