Healthcare Provider Details

I. General information

NPI: 1710209382
Provider Name (Legal Business Name): ANNETTE HALL BARNES DNP, CRNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2010
Last Update Date: 07/15/2022
Certification Date: 07/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24996 LEN ST
SEAFORD DE
19973-6766
US

IV. Provider business mailing address

24996 LEN STREET
SEAFORD DE
19973
US

V. Phone/Fax

Practice location:
  • Phone: 302-228-6016
  • Fax:
Mailing address:
  • Phone: 302-629-0392
  • Fax: 302-253-8279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG0000327
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAC001714
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: