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NPI Code Detail

MEDICARE: MRS. KELI SHEREE BARRIOS WHNP

MEDICARE: MRS. KELI SHEREE BARRIOS WHNP
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
1363LW0102XWomen's Health Nurse PractitionerAP120723TX

General Provider Information

NPI Number : 1619259579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELI SHEREE BARRIOS WHNP
Provider Business Mailing Address
First Line : 1204 N MOUND ST
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75961-4027
Country : US
Telephone Number : 936-568-8425
Fax Number :
Provider Business Practice Location Address
First Line : 1108 SOUTH ST
Second Line :
City : NACOGDOCHES
State : TX
Zip : 75964-5986
Country : US
Telephone Number : 936-560-3097
Fax Number : 936-462-8495
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 05/07/2026

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