Healthcare Provider Details

I. General information

NPI: 1639494917
Provider Name (Legal Business Name): AIMEE ELIZABETH BARNETT N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 02/20/2023
Certification Date: 02/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2056 LEBANON RD
CRAWFORDSVILLE IN
47933-2143
US

IV. Provider business mailing address

PO BOX 781076
DETROIT MI
48278-1076
US

V. Phone/Fax

Practice location:
  • Phone: 765-361-9930
  • Fax: 765-361-9931
Mailing address:
  • Phone: 317-528-4800
  • Fax: 317-865-1479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71003197A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: