Healthcare Provider Details

I. General information

NPI: 1134732704
Provider Name (Legal Business Name): NATALIE NICOLE BARNES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE BARNES

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 ILLINOIS ST FL 6
SAN FRANCISCO CA
94158-2518
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7475
  • Fax:
Mailing address:
  • Phone: 650-853-2917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95015971
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95015971
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: