Provider Demographics
NPI:1447540810
Name:BARTON, SUZANNE MURPHY (CNM)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:MURPHY
Last Name:BARTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5210
Mailing Address - Country:US
Mailing Address - Phone:888-606-0046
Mailing Address - Fax:888-690-0088
Practice Address - Street 1:192 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5210
Practice Address - Country:US
Practice Address - Phone:888-607-0046
Practice Address - Fax:888-690-0088
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT351367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1629486212OtherGROUP PRACTICE NPI
CT008032557Medicaid
CTD400049098Medicare Oscar/Certification