MEDICARE: MRS. PAMELA G BARNEY ARNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30004519	WA

General Provider Information

NPI Number	:	1780763177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PAMELA G BARNEY ARNP

Provider Business Mailing Address
First Line	:	6427 NE 135TH PL
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98034-1626
Country	:	US
Telephone Number	:	425-820-5368
Fax Number	:

Provider Business Practice Location Address
First Line	:	4026 NE 55TH ST
Second Line	:	SUITE E 235
City	:	SEATTLE
State	:	WA
Zip	:	98105-2262
Country	:	US
Telephone Number	:	425-821-8486
Fax Number	:	425-820-1316

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	07/08/2007

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