Individual provider · NPI-1

Mary Bartlett, NP

Nurse Practitioner, Family · Mineola, NY

NPI number1366504391

StatusActive

Last updated in NPPESJun 8, 2026

Details

NPI: 1366504391
Entity type: Individual (NPI-1)
Name: Mary Bartlett
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Dec 15, 2006
Certification date: Jun 8, 2026
Last updated: Jun 8, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	F33476	NY	Yes

Practice location

222 Station Plaza North
Suite 400
Mineola, NY 11501

Phone 516-663-2834 · Fax 516-663-4696

Mailing address

222 Station Plaza Nroth
Suite 400
Mineola, NY 11501

Phone 516-663-2834 · Fax 516-663-4696

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