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NPI Code Detail

MEDICARE: ELIZABETH BARR PMHNP, CPNP, DNP

MEDICARE: ELIZABETH BARR PMHNP, CPNP, DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0200XPediatric Nurse Practitioner201150136NPOR
2363LP0808XPsychiatric/Mental Health Nurse Practitioner201604306NP-PPOR
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP60556930WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP60556930OTHERWAWASHINGTON DEPARTMENT OF HEALTH
2201604306NPOTHEROROREGON STATE BOARD OF NURSING
3201150136NPOTHEROROREGON STATE BOARD OF NURSING

General Provider Information

NPI Number : 1588941397
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BARR PMHNP, CPNP, DNP
Provider Business Mailing Address
First Line : 2215 BROADWAY ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-3226
Country : US
Telephone Number : 360-906-7156
Fax Number : 360-696-3658
Provider Business Practice Location Address
First Line : 2215 BROADWAY ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98663-3226
Country : US
Telephone Number : 360-906-7156
Fax Number : 360-696-3658
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 01/07/2019

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