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NPI Code Detail

MEDICARE: ANGELA BARBER RN

MEDICARE: ANGELA BARBER RN
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
1163W00000XRegistered NurseRN.0076264CO

General Provider Information

NPI Number : 1922680099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA BARBER RN
Provider Business Mailing Address
First Line : 3314 MESA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1036
Country : US
Telephone Number : 719-428-2202
Fax Number :
Provider Business Practice Location Address
First Line : 3314 MESA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1036
Country : US
Telephone Number : 719-428-2202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 04/27/2021

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