Provider Demographics
NPI:1760853808
Name:BARTLETT, BONNIE LEE (HAD, HEALTH COACH)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:LEE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:HAD, HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5717 PUMPKIN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-2854
Mailing Address - Country:US
Mailing Address - Phone:831-809-1864
Mailing Address - Fax:
Practice Address - Street 1:5717 PUMPKIN RIDGE DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-2854
Practice Address - Country:US
Practice Address - Phone:831-809-1864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-15
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVHAS-0552237700000X
171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist