Provider Demographics
NPI:1679381909
Name:BARTLETT, ELIZABETH (MPH)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:BARTLETT
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:LIZ
Other - Middle Name:
Other - Last Name:BARTLETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MPH
Mailing Address - Street 1:220 ANITA DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-1318
Mailing Address - Country:US
Mailing Address - Phone:310-866-7655
Mailing Address - Fax:
Practice Address - Street 1:220 ANITA DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1318
Practice Address - Country:US
Practice Address - Phone:310-866-7655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No171400000XOther Service ProvidersHealth & Wellness Coach