Provider Demographics
NPI:1235547316
Name:BARTON, HENRY DWAYNE (NP)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:DWAYNE
Last Name:BARTON
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:H.
Other - Middle Name:DWAYNE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:2920 GEORGIA AVE NW UNIT 302
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-5199
Mailing Address - Country:US
Mailing Address - Phone:443-602-1017
Mailing Address - Fax:202-949-7698
Practice Address - Street 1:6675 BUSINESS PKWY STE F
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6349
Practice Address - Country:US
Practice Address - Phone:443-293-6904
Practice Address - Fax:202-949-7698
Is Sole Proprietor?:No
Enumeration Date:2014-08-01
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24176815363L00000X
DCRN1034410363LA2100X
MDR136271363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1235547316Medicaid