Healthcare Provider Details

I. General information

NPI: 1184651713
Provider Name (Legal Business Name): MARNI BARRS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 RESPONSE RD KAISER PERMANENTE/WOMEN'S HEALTH
SACRAMENTO CA
95815-4807
US

IV. Provider business mailing address

1650 RESPONSE RD
SACRAMENTO CA
95815-4807
US

V. Phone/Fax

Practice location:
  • Phone: 916-474-2499
  • Fax:
Mailing address:
  • Phone: 916-474-2499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN65519
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: