Healthcare Provider Details

I. General information

NPI: 1972459378
Provider Name (Legal Business Name): CHRISTINE BARHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3133 PROFESSIONAL DR STE 20
AUBURN CA
95603-2463
US

IV. Provider business mailing address

3223 HELM LN
LOOMIS CA
95650-8856
US

V. Phone/Fax

Practice location:
  • Phone: 916-947-0610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number95064951
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: