NPI 1881611770 · live from the CMS NPI Registry
Shelley Marie Bartow, PA-C
Physician Assistant in Kenmare, ND. National Provider Identifier 1881611770, active.
NPI record
| NPI | 1881611770 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 100 1st Ave Se, Kenmare, ND 58746 |
| Practice phone | 701-385-3020 |
| Mailing address | Po Box 755, Kenmare, ND 58746 |
| Enumerated | July 16, 2006 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PAC0308 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.