Healthcare Provider Details

I. General information

NPI: 1710457833
Provider Name (Legal Business Name): MARGARET ELLEN BARNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2018
Last Update Date: 12/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2347 VINE ST
CINCINNATI OH
45219-1745
US

IV. Provider business mailing address

199 RICHARDSON RD
INDEPENDENCE KY
41051-8708
US

V. Phone/Fax

Practice location:
  • Phone: 513-621-1117
  • Fax: 513-621-2350
Mailing address:
  • Phone: 859-356-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.023846
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: