Healthcare Provider Details

I. General information

NPI: 1013395821
Provider Name (Legal Business Name): MARNA MOORE-BARR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LAS TABLAS RD STE 13
TEMPLETON CA
93465-9480
US

IV. Provider business mailing address

1050 LAS TABLAS RD STE 13
TEMPLETON CA
93465-9480
US

V. Phone/Fax

Practice location:
  • Phone: 805-285-7557
  • Fax: 805-461-1763
Mailing address:
  • Phone: 805-285-7557
  • Fax: 805-461-1763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number494670
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95009427
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: