Provider Demographics
NPI:1396628723
Name:BARTLETT, AUDREY MARIE
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:MARIE
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 TESORO HLS
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-6627
Mailing Address - Country:US
Mailing Address - Phone:816-309-5430
Mailing Address - Fax:
Practice Address - Street 1:1017 TESORO HLS
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-6627
Practice Address - Country:US
Practice Address - Phone:816-309-5430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program