Healthcare Provider Details

I. General information

NPI: 1104307354
Provider Name (Legal Business Name): APRIL LEE BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2018
Last Update Date: 08/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 PRAIRIE PKWY
CEDAR FALLS IA
50613-8155
US

IV. Provider business mailing address

16558 TERRACE AVE
CLARKSVILLE IA
50619-9398
US

V. Phone/Fax

Practice location:
  • Phone: 319-277-1990
  • Fax:
Mailing address:
  • Phone: 319-404-3314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA117107
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberF117107
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: