Healthcare Provider Details

I. General information

NPI: 1669400768
Provider Name (Legal Business Name): BARBARA ANNMARIE JOHNSON N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA ANNMARIE LETSINGER N.P.

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 CALLE REAL
SANTA BARBARA CA
93110-1002
US

IV. Provider business mailing address

1245 FERRELO RD
SANTA BARBARA CA
93103-2101
US

V. Phone/Fax

Practice location:
  • Phone: 805-683-1491
  • Fax: 805-964-6181
Mailing address:
  • Phone: 805-683-1491
  • Fax: 805-964-6181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number252275
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: