Provider Demographics
NPI:1174837918
Name:BARTELS, IRENE A (R/N)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:A
Last Name:BARTELS
Suffix:
Gender:F
Credentials:R/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1406
Mailing Address - Country:US
Mailing Address - Phone:201-488-1658
Mailing Address - Fax:201-488-1658
Practice Address - Street 1:140 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BOGOTA
Practice Address - State:NJ
Practice Address - Zip Code:07603-1406
Practice Address - Country:US
Practice Address - Phone:201-488-1658
Practice Address - Fax:201-488-1658
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337802-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse